Year per 100,000 adults 2004 25.64 2005 25.38 2006 23.35 2007 26.26 2008 26.88 2009 25.94 2010 25.04 2011 24.18 2012 23.38 2013 23.93 2014 23.17 2015 20.81 2016 20.22 2017 19.64 2018 19.1 2019 18.59 2020 18.12 2021 18.03