State,2008,2009,2010,2011,2012,2013,2014,2015,2016,2017,2018,2019,2020,2021,2022 Alabama,0.2,0.1,0,0.5,0.5,0.5,1.3,0.5,0.8,0.8,0.7,1.3,0.3,1,0.6 Alaska,0.9,1,1,1.5,1.4,1.9,1.1,1.2,2,1.3,1.5,0.4,0,0,1 Arizona,0.1,0.1,0,0.2,0.2,0.5,0.3,0.2,0.2,0.4,0.1,0.1,0,0,0.1 Arkansas,0,0,0,0,0,0,0,0,0.1,0.2,0.1,0.6,0.4,0.4,0.1 California,0.2,0.3,0.3,0.2,0.2,0.3,0.2,0.3,0.3,0.4,0.3,0.4,0.1,0.3,0.2 Colorado,0.1,0,0.1,0,0,0,0,0,0,0.1,0.1,0.1,0,0,0.2 Connecticut†,111.2,118.1,85.7,84.7,73.9,81.3,65.6,70.8,48.8,57.4,52,34.6,17.3,15,55.8 Delaware†,88.1,111.2,72.9,96.2,73.1,55.1,44.7,46.2,53.3,63.5,53.8,65.6,36,14,29.7 District of Columbia†,12.5,10.2,6.9,0,0,5.4,6,17.9,15,12.1,11.2,14.1,16.8,13.6,11.5 Florida,0.5,0.6,0.4,0.6,0.6,0.7,0.8,0.8,1,1,0.8,0.8,0.6,0.9,1.1 Georgia,0.4,0.4,0.1,0.3,0.3,0.1,0,0.1,0,0.1,0.2,0.2,0.3,0.3,0.3 Hawaii,0,0,0,0,0,0,0,0,0,0,0,0,0,0,0 Idaho,0.6,1,0.6,0.3,0.3,1.2,0.6,0.5,1,1.2,0.5,0.8,0.3,0.3,0.5 Illinois,0.8,1.1,1.1,1.5,1.6,2.6,1.8,2.2,1.8,2.1,2.2,3.1,2.3,4.3,2 Indiana,0.7,1.3,1.2,1.4,1.1,1.7,1.7,2.1,2.3,2.1,2.3,2.8,3.1,4.6,3.5 Iowa,3.6,3.6,2.8,3.3,5.4,8,6.2,10.2,7.4,8.1,9,9.6,8.1,11.2,4.8 Kansas,0.6,0.6,0.3,0.6,0.7,1.2,0.7,0.8,1.3,1.4,1,1.2,0.6,0.7,0.3 Kentucky,0.1,0,0.1,0.1,0.3,0.9,1,1.1,0.7,0.4,0.5,0.5,0.7,0.9,1.6 Louisiana,0.1,0,0.1,0,0.2,0,0,0.1,0.1,0.3,0.1,0.2,0,0.1,0.1 Maine†,68.8,73.6,56.6,75.7,83.7,103.3,105.2,90.4,111.6,138.5,104.8,161,83.5,110,192.6 Maryland†,39.2,35.5,27.9,23.1,28,20.2,23,28.9,31.1,31.4,22.9,23.4,13.9,14.9,33 Massachusetts†,70,79.7,49.7,37.4,77.1,78.8,78.4,62.1,2.9,6,0.2,0.1,1.6,0.4,72.3 Michigan,0.9,1,1,1.1,1,1.7,1.3,1.5,2.2,2.9,2.6,4.1,4.7,8.6,5.5 Minnesota†,24.5,29.3,36.9,39.7,28.2,43.2,26,32.9,38.5,41.6,27.5,27.1,0,33.3,47 Mississippi,0,0,0,0.2,0,0,0.1,0.1,0,0,0.1,0.1,0,0,0.1 Missouri,0.1,0.1,0.1,0.1,0,0,0.2,0.1,0.2,0.2,0.2,0.3,0.1,0.1,0.1 Montana,1.8,0.3,0.4,1.1,0.6,1.8,0.7,0.5,1.6,1.1,0.7,0.7,0.3,1.2,1.2 Nebraska,0.7,0.3,0.4,0.6,0.8,0.5,0.4,0.6,0.7,0.7,0.8,0.5,0.3,0.5,0.5 Nevada,0.5,0.5,0.1,0.2,0.4,0.6,0.2,0.2,0.5,0.6,0.5,0.6,0.1,0.5,0.3 New Hampshire†,121.1,106.8,101.7,98.4,109.5,127.1,54.3,39.6,66.3,102.3,105.4,125.7,21.9,28.6,78.2 New Jersey†,40.2,57.1,42.2,48.3,40.4,42.5,37.1,54.7,49,57.3,45,40.7,28.9,38,63.6 New Mexico,0.4,0.2,0.2,0.3,0,0.3,0,0,0,0.1,0.1,0.3,0,0.1,0.1 New York†,40,28.9,17.7,23,15.3,23.5,19,21.9,19.8,26.3,18.6,21.8,11.6,15.2,84.6 North Carolina,0.5,1,0.9,0.9,1.3,1.8,1.7,2.3,2.7,2.9,2,3.2,2.5,3.2,2.6 North Dakota,1.6,2.3,4.9,3.9,2.1,4,1.9,4.4,4.2,7.4,4.3,5,4.7,4.4,2.8 Ohio,0.4,0.5,0.4,0.5,0.6,0.8,1,1.3,1.4,2.3,2.5,4,3.5,5,4.7 Oklahoma,0.1,0.1,0,0.1,0.1,0.1,0,0,0,0,0,0,0,0,0 Oregon,1,1,1,1,1.2,1.1,1.1,0.8,1.5,2,1.7,1.5,0.9,1.7,1.4 Pennsylvania†,30.4,45.4,29.9,42.1,39.4,45.1,58.5,70.7,89.5,93,79.7,70.3,26.1,22.4,64.7 Rhode Island†,19.9,22.3,17.2,15.1,20.6,68.6,85.6,85.5,85.4,107.1,104.9,91.8,79.4,89.4,212 South Carolina,0.6,0.9,0.6,0.8,0.9,0.9,0.8,0.9,1,0.4,0.8,0.9,0.9,1.5,0.8 South Dakota,0.4,0.1,0.1,0.5,0.5,0.5,0.2,0.6,1.3,1.4,0.8,1.1,0.9,1.8,1.3 Tennessee,0.5,0.6,0.6,0.6,0.5,0.4,0.3,0.4,0.4,0.7,0.4,0.7,0.6,0.8,0.5 Texas,0.6,1.1,0.6,0.3,0.3,0.3,0.1,0.2,0.3,0.2,0.2,0.1,0,0.1,0.1 Utah,0.2,0.3,0.1,0.3,0.2,0.5,0.4,0.2,0.6,0.8,0.9,0.6,0.4,0.5,0.5 Vermont†,65.1,65.6,56.9,99.3,83.3,142.5,95.7,113.5,121.9,174.7,92.2,170.5,9.5,17.8,202.8 Virginia†,12,11.5,15.5,12.6,13.6,15.8,16.2,18.4,16,19.6,13.4,14,6.5,8.2,16.2 Washington,0.4,0.2,0.2,0.3,0.2,0.3,0.2,0.3,0.4,0.5,0.3,0.6,0.3,0.6,0.3 West Virginia†,7.4,11,7.8,6.4,5.2,7.7,7.3,15.7,20.1,35.6,37.2,49.3,59.7,100.5,138.3 Wisconsin†,36.1,45.8,61.3,64,30.9,32.6,23.7,32.9,39.7,51.8,32.2,37.4,24.8,37.2,88.6 Wyoming,0.6,0.6,0,0.4,0.7,0.5,0.5,0.2,0.2,0.7,0,0.9,0,0.3,0.7 U.S. Incidence,11.6,12.5,9.7,10.6,9.8,11.5,10.5,11.9,11.3,13.1,10.3,10.6,5.5,7.4,18.8