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. Eight of the 11 people, 73%, reported consuming kratom in pills, capsules, powder or tea.
The Food and Drug Administration also is part of the investigation. It warned that people who use kratom in place of opioids subject themselves "to an unregulated product that has not been proven safe or effective".
The Drug Enforcement Administration is looking at a strong restriction on the sales of kratom, which is now traded freely on the internet and in some stores. The agency recently developed a novel scientific analysis using a computer model which demonstrated stronger evidence of kratom compounds' opioid properties, which can lead to serious side effects like seizures and depression. "Kratom may also be known as Thang, Kakuam, Thom, Ketom, and Biak". Kratom has discovered a following in the United States, where there are 3 million to 5 million clients, as per the American Kratom Association.
Kratom contains alkaloids which bind with the same opiate receptors in the brain that prescription and street opioid drugs do. Gottlieb compared the substance mixes of kratom to opioids.
A warning about an outbreak of illness linked to Kratom, the controversial herbal supplement.
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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. (In fact, Salmonella is one of the most common causes of food poisoning.) Symptoms include fever, cramps, and diarrhea. The CDC says it is not clear how it could have gotten into supplies of kratom. Due to the reporting time lag, more cases of illness may be reported, the CDC said.
"In interviews, ill people answered questions about the foods they ate and other exposures in the months before they became ill".
"No common brands or suppliers of kratom have been identified at this time".
Kratom should not be consumed in any form, the CDC said, because the source of salmonella contamination has not been identified.