Richard Knox

Credit Jacques Coughlin

Since he joined NPR in 2000, Knox has covered a broad range of issues and events in public health, medicine, and science. His reports can be heard on NPR's Morning Edition, All Things Considered, Weekend Edition, Talk of the Nation, and newscasts.

Among other things, Knox's NPR reports have examined the impact of HIV/AIDS in Africa, North America, and the Caribbean; anthrax terrorism; smallpox and other bioterrorism preparedness issues; the rising cost of medical care; early detection of lung cancer; community caregiving; music and the brain; and the SARS epidemic.

Before joining NPR, Knox covered medicine and health for The Boston Globe. His award-winning 1995 articles on medical errors are considered landmarks in the national movement to prevent medical mistakes. Knox is a graduate of the University of Illinois and Columbia University. He has held yearlong fellowships at Stanford and Harvard Universities, and is the author of a 1993 book on Germany's health care system.

He and his wife Jean, an editor, live in Boston. They have two daughters.

Pages

Shots - Health News
10:15 am
Fri March 8, 2013

A Man's Journey From Nepal To Texas Triggers Global TB Scramble

Credit NIAID/Flickr.com
Although tuberculosis is declining around the world, drug-resistant strains of Mycobacterium tuberculosis are on the rise.

Originally published on Fri March 8, 2013 12:47 pm

We don't know too much about a Nepalese man who's in medical isolation in Texas while being treated for extensively drug-resistant tuberculosis, or XDR-TB, the most difficult-to-treat kind. Health authorities are keen to protect his privacy.

But we do know that he traveled through 13 countries — from South Asia to somewhere in the Persian Gulf to Latin America — before he entered the U.S. illegally from Mexico in late November. He traveled by plane, bus, boat, car and on foot.

Read more
Shots - Health News
4:41 pm
Sun March 3, 2013

Scientists Report First Cure of HIV In A Child, Say It's A Game-Changer

Credit NIAID_Flickr
HIV particles, yellow, infect an immune cell, blue.

Originally published on Mon March 4, 2013 1:02 pm

Scientists believe a little girl born with HIV has been cured of the infection.

She's the first child and only the second person in the world known to have been cured since the virus touched off a global pandemic nearly 32 years ago.

Doctors aren't releasing the child's name, but we know she was born in Mississippi and is now 2 1/2 years old — and healthy. Scientists presented details of the case Sunday at a scientific conference in Atlanta.

Read more
Shots - Health News
5:06 pm
Thu February 28, 2013

Strategy To Prevent HIV In Newborns Sparks Enthusiasm And Skepticism

Originally published on Thu February 28, 2013 7:52 pm

There's great enthusiasm among some global health leaders about a bold – some say radical — strategy to prevent pregnant women from transmitting HIV to their newborns.

But skeptics worry that the approach, dubbed Option B+, will pit pregnant women with HIV against others infected with the virus, diverting resources from the broader struggle against the pandemic.

Read more
Shots - Health News
3:35 am
Wed February 27, 2013

Younger Women Have Rising Rate Of Advanced Breast Cancer, Study Says

Credit Blend Images/Jon Feingersh / Getty Images/iStockphoto.com

Originally published on Wed February 27, 2013 8:19 am

Researchers say more young American women are being diagnosed with advanced breast cancer.

It's a newly recognized trend. The numbers are small, but it's been going on for a generation. And the trend has accelerated in recent years.

Read more
Shots - Health News
9:23 am
Thu February 21, 2013

Medical Waste: 90 More Don'ts For Your Doctor

Credit iStockphoto.com
Scans shouldn't be ordered routinely for kids with minor head injuries, new advice to doctors says.

Originally published on Fri February 22, 2013 4:54 pm

Doctors do stuff — tests, procedures, drug regimens and operations. It's what they're trained to do, what they're paid to do and often what they fear not doing.

So it's pretty significant that a broad array of medical specialty groups is issuing an expanding list of don'ts for physicians.

Read more
Shots - Health News
3:34 am
Mon February 18, 2013

Targeted Cancer Drugs Keep Myeloma Patients Up And Running

Originally published on Tue February 19, 2013 3:13 pm

Don Wright got diagnosed with multiple myeloma at what turned out to be the right time. It was 10 years ago, when he was 62.

That was at the beginning of a revolution in treating this once-fearsome blood cell cancer, which strikes around 20,000 Americans every year. The malignancy can literally eat holes in victims' bones, which can snap from the simple act of bending over to pick up a package.

Read more
Shots - Health News
6:11 pm
Wed February 13, 2013

Report: Action Needed To Curb Fake And Substandard Drugs

Credit Issouf Sanogo / AFP/Getty Images
Shoppers buy smuggled counterfeit drugs at the Adjame market in Abidjan, Ivory Coast, in 2007.

Originally published on Thu February 14, 2013 5:20 pm

A blue-ribbon panel is urging stronger regulation of pharmaceuticals around the world to combat the growing problem of fake and poor-quality medicines.

The quality problems and fake medicines have affected Americans. Fungal contamination of steroids made by a Massachusetts pharmacy, which sickened more than 700 people and killed 46, is one recent example. Other U.S. patients have received fake cancer drugs and medicines obtained over the Internet with little or no active ingredients.

Read more
Shots - Health News
4:44 pm
Fri February 8, 2013

Widely Used Stroke Treatment Doesn't Help Patients

Credit Zephyr / Science Source
An angiogram of a 48-year- old patient after treatment for a stroke. A blockage was targeted with clot-busting drugs using a catheter.

Originally published on Mon February 11, 2013 5:09 pm

It's another case of a beautiful idea colliding with some ugly facts.

The beautiful idea is the notion that clearing the blocked artery of a stroke patient with a device snaked right up to the blockage would salvage threatened brain cells and prevent a lot of disability.

Read more
Shots - Health News
10:37 am
Mon February 4, 2013

Experimental Tuberculosis Vaccine Fails To Protect Infants

Credit Rodger Bosch / AFP/Getty Images
Nurse Christel Petersen inoculates a child in the South African Tuberculosis Vaccine Initiative study in 2011.

Originally published on Mon February 4, 2013 6:03 pm

Researchers are disappointed in the results of a long-awaited study of the leading candidate vaccine against tuberculosis, one of humankind's most elusive scourges.

But, pointing to more than a dozen other TB vaccines in the pipeline, they say they're not discouraged.

Read more
Shots - Health News
3:40 am
Thu January 24, 2013

Female Smokers Face Greater Risk Than Previously Thought

Credit Spencer Platt / Getty Images
Women smoke in New York City's Times Square.

Originally published on Thu January 24, 2013 1:19 pm

There's still more to learn about the risks of smoking and the benefits of quitting.

Studies in this week's New England Journal of Medicine show that the risk for women has been under-appreciated for decades. New data also quantify the surprising payoffs of smoking cessation — especially under the age of 40.

Read more
Shots - Health News
11:55 am
Wed January 23, 2013

Old Drug Extends Life For Pancreatic Cancer Patients

Credit Wikimedia Commons
A CT scan showing an adenocarcinoma of the pancreatic head.

Originally published on Wed January 23, 2013 3:55 pm

A large study is providing a rare glimmer of hope for patients with pancreatic cancer, perhaps the deadliest of all malignancies.

By the time they're diagnosed, most patients with pancreatic cancer have advanced disease that's spread to the liver and lung. And the primary tumor may be inoperable because it's wrapped around vital blood vessels and nerves.

Read more
Shots - Health News
3:51 pm
Fri January 18, 2013

A Worm's Ovary Cells Become A Flu Vaccine Machine

Credit Wikimedia Commons
The fall armyworm, a corn pest, is now also a vaccine factory.

Originally published on Wed January 23, 2013 9:57 am

As the flu season grinds on from news cycle to news cycle, there's some flu news of a different sort. Federal regulators have approved a next-generation type of flu vaccine for the second time in two months.

The two new vaccines are the first fruits of a big government push to hasten and simplify the laborious production of flu vaccines.

Read more
Shots - Health News
3:48 am
Thu January 17, 2013

Bad Flu Season Overshadows Other Winter Miseries

Originally published on Thu January 17, 2013 11:11 am

Dr. Beth Zeeman says she can spot a case of influenza from 20 paces. It's not like a common cold.

"People think they've had the flu when they've had colds," Zeeman, an emergency room specialist at MetroWest Medical Center in Framingham, Mass., tells Shots. "People use the word 'flu' for everything. But having influenza is really a different thing. It hits you like a ton of bricks."

Read more
Shots - Health News
3:18 am
Mon January 14, 2013

As Hepatitis C Sneaks Up On Baby Boomers, Treatment Options Grow

Credit Richard Knox / NPR
Hepatitis C patient Nancy Turner shows Kathleen Coleman, a nurse practitioner, where a forearm rash, a side effect of her treatment, has healed. Turner is one of many patients with hepatitis C experimenting with new drugs to beat back the virus.

Originally published on Mon January 14, 2013 3:27 pm

A smoldering epidemic already affects an estimated 4 million Americans, most of whom don't know it.

It's hepatitis C, an insidious virus that can hide in the body for two or three decades without causing symptoms — and then wreak havoc with the liver, scarring it so extensively that it can fail. Half of all people waiting for liver transplants have hepatitis C.

Read more
Shots - Health News
5:34 am
Sat January 12, 2013

After Bringing Cholera To Haiti, U.N. Plans To Get Rid Of It

Originally published on Sat January 12, 2013 11:11 pm

Not quite 10 months after Haiti's devastating 2010 earthquake, a more insidious disaster struck: cholera.

Haiti hadn't seen cholera for at least a century. Then suddenly, the first cases appeared in the central highlands near a camp for United Nations peacekeeping forces.

Read more
Shots - Health News
5:49 pm
Wed January 9, 2013

U.S. Ranks Below 16 Other Rich Countries In Health Report

Credit iStockphoto.com

Originally published on Wed January 9, 2013 6:46 pm

It's no news that the U.S. has lower life expectancy and higher infant mortality than most high-income countries. But a magisterial new report says Americans are actually less healthy across their entire life spans than citizens of 16 other wealthy nations.

And the gap is steadily widening.

Read more
Shots - Health News
4:59 am
Tue January 1, 2013

Breast Cancer: What We Learned In 2012

Originally published on Wed January 2, 2013 10:08 am

The past year has seen more debate about the best way to find breast cancers.

A recent analysis concluded that regular mammograms haven't reduced the rate of advanced breast cancers — but they have led more than a million women to be diagnosed with tumors that didn't need to be treated.

Read more
Shots - Health News
1:47 pm
Thu December 20, 2012

Merck Undercuts Popular Notion That Niacin Prevents Heart Attacks

Originally published on Thu December 20, 2012 2:59 pm

Niacin, a B vitamin that raises "good" cholesterol, has failed to benefit heart disease patients when taken in tandem with a statin drug that lowers "bad" cholesterol, according to drug maker Merck.

Read more
Shots - Health News
1:20 pm
Tue December 18, 2012

Dangers of 'Whoonga': Abuse Of AIDS Drugs Stokes Resistance

Credit John Robinson / AP
A whoonga smoker near Durban, South Africa, shows a crushed AIDS pill in the palm of his hand before mixing the drug with marijuana.

Originally published on Thu December 20, 2012 4:01 pm

Opportunists who market street drugs may be undermining the global struggle against AIDS.

In South Africa, two mainstay HIV drugs have found their way into recreational use. That may help explain why some HIV patients are resistant to these front-line medicines even if they've never been in treatment before.

It can happen in two ways.

Read more
Shots - Health News
3:23 am
Mon December 10, 2012

As Childhood Strokes Increase, Surgeons Aim To Reduce Risks

Boston brain surgeon Ed Smith points to a tangle of delicate gray shadows on his computer screen. It's an X-ray of the blood vessels on the left side of 13-year-old Maribel Ramos' brain.

Read more

Pages