On Feb. 20, 2018, the Centers for Disease Control (CDC) announced that it was investigating, along with FDA, a multi-state outbreak of Salmonella that has infected 28 people in 20 states in the United States. Eight of the 11 people, 73%, reported consuming kratom in pills, capsules, powder or tea. Three people in California have been sickened; the other affected states, including Utah, Oregon, Ohio and Pennsylvania, have had one or two cases. "Kratom may also be known as Thang, Kakuam, Thom, Ketom, and Biak". The FDA said recently that a new computer model it developed shows that kratom contains opioid compounds that can cause potentially lethal side effects such as seizures and depressed breathing.
Missouri has no reported cases. So the agency recommends that "people not consume kratom in any form".
"People should talk to their health care provider before taking any supplement, especially if they are in a group more likely to get a severe Salmonella infection".
Salmonella is usually transmitted when people eat foods contaminated with animal feces that carry the bacteria. Illness can last from four to seven days, according to the CDC. Patients initially detailed feeling wiped out October 13, however the most as of late revealed ailment started on January 30. Due to the reporting time lag, more cases of illness may be reported, the CDC said. The CDC hasn't tracked the infections back to a single brand or supplier yet. Recently, the FDA has supported a kratom crackdown, saying the botanical is potentially unsafe and addictive.
FDA Commissioner Dr. Scott Gottlieb warned the public about the herbal supplement in a statement this month, saying that "There is no evidence to indicate that kratom is safe or effective for any medical use". "In addition to this outbreak, kratom is an opioid; expected to have similar risk of addiction, abuse and death".
"Kratom is not a drug", the American Kratom Association says on its website.
The investigation is ongoing, the CDC said.
Kratom is widely available on the internet and is sold in some head shops, gas stations and corner grocery stores.