Year per 1,000 adults 2004 90.3 2005 109.14 2006 135.86 2007 146.67 2008 171.22 2009 167.17 2010 167.58 2011 172.21 2012 159.9 2013 167.34 2014 172.55 2015 166.95 2016 165.35 2017 200.18 2018 177.95 2019 139.89 2020 130.2 2021 148.32