Kratom salmonella outbreak across 20 states prompts CDC warning

CDC warning links kratom to salmonella outbreak across 20 states

"We don't know exactly which brand or which products are contaminated", says Laura Gieraltowski, PhD., head of the CDC's Foodborne Outbreak Team.

The CDC added that based on this investigation, "people should not consume kratom in any form" because they have yet to identify the source of the contamination.

That means it's still unclear precisely what caused the outbreak, though kratom seems to be a likely culprit.

Last month, the CDC sent out a warning about raw sprouts. CDC's recommendation may change as more information becomes available. Gottlieb compared the substance mixes of kratom to opioids. It's also sometimes touted as a way to treat addiction to opioids.

According to a bulletin from the CDC, a multistate Salmonella outbreak has been traced to supplements made from the plant.

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Those reports loosely connected kratom to 44 deaths, but in all but one case, the people who died were found to have been taking multiple drugs, including other opioids in many cases.

FDA Commissioner Scott Gottlieb also urged manufacturers to stop selling products intended for human consumption if they contain kratom.

For her part, Day believes strongly that kratom can help a great many people wanting to get off opioids or avoid using them for pain management.

It says kratom is illegal in Indiana, Tennessee, Wisconsin, Vermont, Arkansas, Alabama and Rhode Island, as well as some local jurisdictions including Sarasota County in Florida, San Diego and Washington, D.C. However, the U.S. Drug Enforcement Agency (DEA) does identify kratom by a plethora of other names: Mitragyna speciosa, mitragynine extract, biak-biak, cratom, gratom, ithang, kakuam, katawn, kedemba, ketum, krathom, krton, mambog, madat, Maeng da leaf, nauclea, Nauclea speciosa, or thang. "There are three FDA-approved products that are safe and effective for the treatment of opioid use disorder and we encourage patients to seek advice from their health care professional and pursue treatment for addiction". The agency has received reports concerning the safety of kratom, including the deaths associated with it.

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