Year per 100,000 adults 2004 39.15 2005 40.01 2006 42.33 2007 41.44 2008 40.66 2009 40.28 2010 39.18 2011 45.84 2012 45.32 2013 46.79 2014 31.28 2015 30.39 2016 27.72 2017 37.96 2018 35.92 2019 39.98 2020 42.44 2021 48.02