Forty-seven more ill people have been reported and 8 more states (Alaska, Illinois, Indiana, Maryland, Mississippi, Nevada, Texas, and West Virginia) are included in this outbreak, bringing the total to 87 sick people from 35 states.
Twenty seven people required hospitalization for their illness. No deaths have been reported.
The Centers for Disease Control and Prevention (CDC) also expanded the investigation to include outbreak strains from three additional serotypes of Salmonella: Salmonella Javiana, Salmonella Okatie, and Salmonella Thompson, in addition to Salmonella I 4,[5],12:b:- .
Epidemiologic 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.
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