COCA Now: Update: Multistate Outbreak of Salmonella Infections Linked to Kratom

View this email as a webpage: https://content.govdelivery.com/accounts/USCDC/bulletins/1e28f80

COCA Now Banner

Update: Multistate Outbreak of Salmonella Infections Linked to Kratom

What's New?

  • The investigation has expanded to include outbreak strains from three additional serotypes of Salmonella: Salmonella Javiana, Salmonella Okatie, and Salmonella Thompson.
  • The same strains of Salmonella Okatie and Salmonella Thompson were found in samples collected from kratom and from ill people.
  • 47 more ill people from 25 states were added to this investigation since the last update on March 2, 2018.
  • Eight additional states have reported ill people: Alaska, Illinois, Indiana, Maryland, Mississippi, Nevada, Texas, and West Virginia.

Salmonella

Since the last update on March 2, 2018, 47 more ill people from 25 states were added to this investigation. As of March 14, 2018, a total of 87 people infected with outbreak strains of Salmonella I 4,[5],12:b:- (50), Salmonella Javiana (5), Salmonella Okatie (16), or Salmonella Thompson (16) have been reported from 35 states. A list of the states and the number of cases in each can be found on the Case Count Map page.

Illnesses started on dates ranging from January 21, 2017 to February 24, 2018. Ill people range in age from 6 to 67 years, with a median age of 39. Fifty-five percent of ill people are male. Of 69 people with available information, 27 (39%) have been hospitalized. No deaths have been reported.

Health officials continue to collect various leftover and unopened kratom products to test for Salmonella contamination. Investigators in California collected leftover Phytoextractum brand kratom powder from an ill person in that state. The outbreak strain of Salmonella I 4,[5],12:b:- was identified in this sample. As a result of these findings, PDX Aromatics recalled kratom powder sold online between January 18, 2018 and February 18, 2018.

Investigators in Oregon and Utah collected kratom powder from retail locations and online retailers where ill people reported purchasing kratom. Outbreak strains of Salmonella Okatie and Salmonella Thompson were identified in these samples. No brand information was available for the kratom products collected in Oregon. The ill person in Utah purchased kratom powder from the website kratoma.com.

Despite the information collected to date about where ill people purchased kratom, a single common brand or supplier of kratom has not been linked to the outbreak. At this time, CDC recommends that people not consume any brand of kratom in any form because it could be contaminated with Salmonella and could make people sick. This investigation is ongoing. CDC will provide updates when more information is available. 

Read the full outbreak investigation report, view epi curve graphs, and other key resources here. Read additional advice to consumers here. For information for healthcare professionals and laboratories regarding Salmonella, click here.