Year per 100,000 adults 2004 38.88 2005 39.29 2006 37.39 2007 38.49 2008 40.05 2009 40.11 2010 39.45 2011 41.44 2012 37.91 2013 37.85 2014 37.05 2015 37.2 2016 34.3 2017 32.14 2018 29.61 2019 27.56 2020 24.25 2021 23.51