In an update on the Salmonella I 4,[5],12:b:- multistate outbreak linked to kratom, 12 more sick people have been reported and 7 more states (Delaware, Georgia, Minnesota, Missouri, Virginia, Washington and Wisconsin) are included in this outbreak, bringing the total to 40 sick people from 27 states, according to the Centers for Disease Control and Prevention (CDC).

Forty-five percent of ill people have been hospitalized, and no deaths.

big-map-2-28-18Epidemiologic 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.

The outbreak strain of Salmonella was found in leftover kratom powder collected from sick people in North Dakota and Utah.

The ill person in North Dakota purchased S.K. Herbalist brand kratom powder from the website The ill person in Utah purchased kratom powder from the website

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Kratom is a plant native to southeast Asia that is consumed for its stimulant effects and as an opioid substitute. It is typically brewed in a tea, chewed, smoked, or taken in capsules. Kratom may also be known as Thang, Kakuam, Thom, Ketom, and Biak.

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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. These groups include people with weakened immune systems, including people who are receiving chemotherapy or have HIV, pregnant women, children younger than 5 years, and older adults.