Illness Associated with Diamond ShruumzTM Products, and Other Mushroom-Containing Chocolate Bars ¡ª United States, 2024

What to know

  • Presentation Day/Time: Tuesday, April 22, 1:20–2:45 pm
  • Presenter: Jelonia Rumph, PhD, EIS officer assigned to the National Center for Environmental Health, Division of Environmental Health Science and Practice
Jelonia Rumph, PhD

What did we do?

  • On May 31, 2024, CDC was alerted to an outbreak of illness potentially associated with Diamond ShruumzTM (DS) microdosing products, including chocolate bars, gummies, and cones, marketed as containing a proprietary mushroom blend. We analyzed data on reported cases to estimate the size of the outbreak and investigate associations between specific products and severe health effects.

What did we find?

  • A total of 180 cases were reported by 34 states;
    • 73 cases were hospitalized,
    • 38 cases were admitted to the ICU, and
    • 29 cases were intubated.
  • Those who consumed DS bars had higher odds than those who consumed other products of experiencing hospitalization (OR: 2.3; 95% CI: 1.1–4.8), ICU admission (OR: 4.2; 95% CI: 1.5–12.0), and intubation (OR: 5.7; 95% CI: 1.6–20.1).
  • Among those who consumed DS bars, the proportion hospitalized, admitted to ICU, and intubated increased with increasing amount consumed (P-Trend: 0.0237, 0.0035, and 0.008, respectively).

Why does it matter?

  • This outbreak affected approximately 200 persons nationwide, suggesting that some microdosing products, particularly DS bars, may cause moderate/major health effects.
  • Public health messaging about the risks for consuming microdosing products should be provided to consumers.

Abstract Category: Microdosing Products