Published: Thu, February 22, 2018
Health Care | By Alice Shelton

Kratom Salmonella Outbreak Warning, One Coloradan Sickened

Kratom Salmonella Outbreak Warning, One Coloradan Sickened

A salmonella outbreak across 20 states has been linked to the unregulated herbal supplement known as kratom, warned the Centers for Disease Control and Prevention. Kratom is a plant that grows in Southeast Asia. So the agency recommends that "people not consume kratom in any form". But genetic testing links the cases that have been reported. 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.

As of February 16, there have been 20 states to report that 28 people are infected with the outbreak strain, 11 people have been hospitalized and no deaths have been reported.

The CDC has been unable to trace the recent salmonella outbreak to any particular brands or distributors, and has issued a broad advisory notice against the use of the supplement.

Kratom is traditionally crushed and made into team but is also chewed, smoked or taken in capsule form. The FDA is making efforts to tamp down on misbranded or unapproved drugs entering the country to stop the flow of kratom.

Kratom supplements have a new side effect: Salmonella
Salmonella Infections Linked to Kratom (CDC

"Patients addicted to opioids are using kratom without dependable instructions for use and more importantly, without consultation with a licensed health care provider about the product's dangers, potential side effects or interactions with other drugs", FDA commissioner Scott Gottlieb said in a previous statement in November. Generally, any dietary supplement containing kratom would need to be the subject of a New Dietary Ingredient Notification demonstrating that the product will reasonably be expected to be safe.

While the supplements had been meant to be used to help people with weight loss, there have been reports of people using them as an alternative to prescription opioids.

The American Kratom Association and patients who use the supplement for pain control immediately pushed back on that decision.

Last week, the FDA released findings showing kratom acts like an opioid and can be risky and addictive. The data adds to the FDA's evidence supporting the safety concerns and abuse potential of kratom, Gottlieb said. There are safe and effective, FDA-approved medical therapies available for the treatment of opioid addiction.

Penn State wins easily against Ohio State 79-56 - Recap, Box score
While Ohio State managed to decrease the deficit later in the second half, the Penn State lead proved to be insurmountable. All three of Penn State's remaining regular season games give the team opportunities to boost its NCAA Tournament resume.

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