Salmonella Outbreak Possibly Connected to Opioid Substitute

Kratom supplements have a new side effect: Salmonella

A plant grown in parts of Asia, kratom has been marketed as a treatment for pain, anxiety, and depression.

The CDC says the epidemiologic evidence indicates kratom as the likely source of the outbreak, however no common brands or suppliers have been identified at this time. To date, 28 cases, including eleven hospitalizations, have been reported in 20 states. Food and Drug Administration [FDA] advocated consumers not to utilize Kratom based on the agency's discovery that it contained opioid compounds.

The CDC has interviewed just 11 of the 28 salmonella victims, but of those 11, eight reported using some form of kratom-either a pill, powder, or tea-before falling ill.

In an earlier statement issued last fall, Gottlieb warned that the agency knew of 36 deaths linked to kratom use.

Tangled fight in Syria poses new dangers to US
In addition, the officials said, Israel could have responded in a much more forceful manner, but a decision was made to hold off. Israel responded to the incursion by sending eight F-16s into Syria to destroy the drone's command and control center.

Kratom is traditionally crushed and made into team but is also chewed, smoked or taken in capsule form. A few months later, in the autumn of 2016, the DEA said it would delay rendering a decision on kratom until the FDA was able to complete a scientific evaluation of the supplement.

The FDA is overseeing the recall and destruction of dietary supplements containing Kratom.

FDA Commissioner Scott Gottlieb also urged manufacturers to stop selling products intended for human consumption if they contain kratom. Known for its stimulant effects, the plant has been considered by governmental agencies as an opioid substitute, a concern that hits home as the United States continues to struggle with an ongoing opioid crisis. "FDA is concerned that kratom, which affects the same opioid brain receptors as morphine, appears to have properties that expose users to the risks of addiction, abuse, and dependence", the alert reads. "If they could come up with the same type of testing and policies like they have for marijuana here that fit kratom use, I think it would be a great move in the right direction of keeping it legal".

Those reports loosely connected kratom to 44 deaths, but in all but one case, the people who died were found to have been taking multiple drugs, including other opioids in many cases.

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