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Multistate Salmonella Outbreak Linked to Kratom
#1
Multistate Outbreak of Salmonella Infections Linked to Kratom

CDC, public health and regulatory officials in several states, and the U.S. Food and Drug Administration (FDA) are investigating a multistate outbreak of Salmonella I 4,[5],12:b:- infections.

Public health investigators are using the PulseNet system to identify illnesses that may be part of this outbreak. PulseNet is the national subtyping network of public health and food regulatory agency laboratories coordinated by CDC. DNA fingerprinting is performed on Salmonella bacteria isolated from ill people by using techniques called pulsed-field gel electrophoresis (PFGE) and whole genome sequencing (WGS). CDC PulseNet manages a national database of these DNA fingerprints to identify possible outbreaks. WGS gives a more detailed DNA fingerprint than PFGE.

As of February 16, 2018, 28 people infected with the outbreak strain of Salmonella I 4,[5],12:b:- have been reported from 20 states. A list of the states and the number of cases in each can be found on the Case Count Map page. WGS performed on isolates from ill people were closely relatedly genetically. This means that people in this outbreak are more likely to share a common source of infection.
Illnesses started on dates ranging from October 13, 2017, to January 30, 2018. Ill people range in age from 6 to 67 years, with a median age of 41. Sixteen people are male. Eleven hospitalizations have been reported. No deaths have been reported.

This outbreak can be illustrated with a chart showing the number of people who became ill each day. This chart is called an epidemic curve, or epi curve. Illnesses that occurred after January 23, 2018, might not yet be reported due to the time it takes between when a person becomes ill and when the illness is reported. This takes an average of 2 to 4 weeks. Please see the Timeline for Reporting Cases of Salmonella Infection for more details.

WGS analysis did not identify any predicted antimicrobial resistance in isolates from five ill people. Testing of outbreak isolates using standard antibiotic susceptibility testing methods is currently underway in CDC’s National Antimicrobial Resistance Monitoring System (NARMS) laboratory.

Investigation of the Outbreak
Epidemiologic evidence indicates that kratom is a likely source of this multistate outbreak. Kratom is a plant consumed for its stimulant effects and as an opioid substitute. Kratom is also known as Thang, Kakuam, Thom, Ketom, and Biak.

In interviews, ill people answered questions about the foods they ate and other exposures in the months before they became ill. Eight (73%) of 11 people interviewed reported consuming kratom in pills, powder, or tea. No common brands or suppliers of kratom have been identified at this time.

At this time, CDC recommends that people not consume kratom in any form. The investigation indicates that kratom products could be contaminated with Salmonella and could make people sick. CDC’s recommendation may change as more information becomes available. This investigation is ongoing and we will provide updates as needed.

CDC
Posted February 20, 2018 10:30 AM ET


Link for those who wish to comment:
https://www.cdc.gov/salmonella/kratom-02-18/index.html
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#2
CDC CLAIMS SALMONELLA OUTBREAK LINKED TO KRATOM


The Center for Disease Control (CDC) issued a warning today recommending that people not consume kratom in any form because it could be contaminated with Salmonella. 
[img=520x0]https://i1.wp.com/chapact.com/wp-content/uploads/2018/02/Screen-Shot-2018-02-20-at-12.02.47-PM.png?resize=520%2C338[/img]
This warning follows closely behind the FDA memo that attempts to prove that Kratom is an opioid through a fancy new 3D computer model they’ve created. Dr. David Kroll does a great job of debunking that claim in his recent Forbes post

The summary of these outbreaks does not actually justify the CDC’s claim that the source was “likely from Kratom”, it simply shows that several people they interviewed with salmonella, had also used Kratom recently. 

Just last month a consumer advocacy group called on the FDA and CDC to do a better job of warning people about a romaine lettuce  E. coli outbreak, which at last count had made 58 people sick in the U.S. and Canada. One person has died. However, when it came to the subject of infected vegetables that have actually resulted in a death, the CDC was hesitant to issue any serious warnings.

“Because we have not identified a source of the infections, CDC is unable to recommend whether U.S. residents should avoid a particular food.”

But when it comes to Kratom, which has caused zero deaths and has no proven correlation respective to the recent CDC Salmonella claims, it’s crystal clear what the CDC’s motives are in issuing this warning.

BY SAM CHAPMAN
ON FEBRUARY 20, 2018


Link for those who wish to comment:
http://chapact.com/2018/02/cdc-claims-sa...ed-kratom/
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