In this outbreak, California has three cases; Ohio, Oregon, Oklahoma, Pennsylvania and Utah each have two; and Florida, New York, North Carolina, South Carolina, Kentucky, Tennessee, Michigan, Alabama, Arizona, Colorado, Kansas, Louisiana, Massachusetts and North Dakota each have one. The vast majority contaminated with salmonella create indications - including loose bowels, fever and stomach spasms - inside 12 to 72 hours of presentation to the microscopic organisms. Eleven of the sick people had such severe symptoms that they had to be admitted to hospitals. The investigation indicates that kratom products could be contaminated with Salmonella and could make people sick. In October 2016, the Drug Enforcement Administration (DEA) was poised to criminalize use of the plant, but it backed away from that position after facing Congressional opposition and a social media storm.
Of the 11 individuals who have been met for the salmonella examination, eight detailed expending kratom in pills, powder or tea. Before it can be legally marketed for therapeutic uses in the US, kratom's risks and benefits must be evaluated as part of the regulatory process for drugs established by Congress.
Still, concern about kratom is mounting, especially because some people appear to be using the supplement as a way to step down from opioid painkillers like heroin and morphine. The CDC has linked the incident to the controversial kratom herbal supplements, and has recommended consumers to avoid the products. 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 is also known as Thang, Kakuam, Thom, Ketom, and Biak.
Dr. Scott Gottlieb, Commissioner of the FDA stated that, "Kratom should not be used to treat medical conditions, nor should it be used as an alternative to prescription opioid".