Global & Disaster Medicine

CDC has now confirmed 132 cases in 32 states tied to the use of kratom, an herbal alternative to opioids.

CDC

What’s New?

  • Forty-five more ill people from 19 states were added to this investigation since the last update on March 15, 2018.
  • Three additional states have reported ill people: Connecticut, Iowa, and Idaho.

 

Highlights

  • At this time, CDC recommends that people not consume any brand of kratom in any form because it could be contaminated with Salmonella.
    • Kratom products from several companies have been recalled because they might be contaminated with Salmonella. The list of recalled kratom products is available on the U.S. Food and Drug Administration website.
    • Kratom is also known as Thang, Kakuam, Thom, Ketom, and Biak.
    • Kratom is a plant consumed for its stimulant effects and as an opioid substitute.
  • CDC, public health and regulatory officials in several states, and the U.S. Food and Drug Administration are investigating a multistate outbreak of Salmonella infections.
  • Epidemiologic and laboratory evidence indicates that kratom is the likely source of this multistate outbreak.
    • No common brands or suppliers of kratom products have been identified at this time.
    • Because no common source of Salmonella-contaminated kratom has been identified, CDC is recommending against consuming any kratom.
  • A total of 132 people infected with outbreak strains of Salmonella I 4,[5],12:b:- (61), Salmonella Javiana (15), Salmonella Okatie (21), or Salmonella Thompson (35) have been reported from 38 states.
    • Forty percent of ill people have been hospitalized, and no deaths have been reported.
  • This investigation is ongoing. CDC will provide updates when more information is available.

People infected with the outbreak strains of Salmonella, by state of residence, as of April 5, 2018


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