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 Blog
12:01 am
Mon November 21, 2011

Shortage Of ADHD Drugs Has Parents, Doctors Scrambling

Credit GoodMood Enterprises / iStockphoto
The scarcity of ADHD medications is a problem faced by an untold number of children and adults with the disorder.

When it's time to renew her son's prescriptions for medicine to treat his attention-deficit/hyperactivity disorder, Roxanne Ryan prepares for another wild goose chase.

The Philadelphia mother says she typically has to call around to 10 to 15 different pharmacies to find where the prescriptions can be filled. And when 10-year-old Sergey doesn't get his medication, he's a bundle of uncontained energy.

Read more
Shots - Health Blog
12:01 am
Mon November 7, 2011

Why HPV Vaccination Of Boys May Be Easier

Credit Richard Knox / NPR
Connor Perruccello-McClellan, a senior at Providence Country Day School in Rhode Island, has been vaccinated against HPV, something less than 1 percent of U.S. males can say.

When the Centers for Disease Control and Prevention recommended a half-dozen years ago that preteen girls be vaccinated against human papillomavirus, two things happened.

A lot of parents and some conservative groups were jarred by the idea of immunizing young girls against a sexually transmitted virus. And uptake of the vaccine has been poor — only about a third of 13- to 17-year-old girls have gotten the full three-shot series.

Read more
Shots - Health Blog
5:34 pm
Tue November 1, 2011

CDC: Time To Curb 'Shocking' Epidemic Of Narcotics Overdoses

Originally published on Tue November 1, 2011 6:14 pm

Federal officials say they're making headway in their push to stem abuse of addictive painkillers. Still, they say, U.S. doctors are prescribing enough narcotics to medicate every American around the clock for a month.

The Centers for Disease Control and Prevention says drug overdoses may soon overtake car crashes as the nation's leading cause of fatal injury.

Read more
Shots - Health Blog
1:02 pm
Mon October 31, 2011

Obama Tackles Rx Drug Shortages

President Obama is wielding a unilateral prerogative of his office – the executive order – to get something done about a worsening shortage of essential drugs.

It's a problem that earlier this month one administration official called "a dire public health situation." Many thousands of patients with cancer, life-threatening infections, cardiac disease, severe gastrointestinal disorders and many other conditions aren't able to get the drugs they need.

Read more
Shots - Health Blog
11:54 am
Mon October 31, 2011

Stomach Bug Has A Field Day At NBA

Credit iStockphoto.com

Locker rooms and clubhouses should be disinfected regularly with a solution such as bleach that's effective against the stubborn norovirus, researchers say.

It's the season for stomach bugs again. And if you want to know just how contagious those bugs can be, just ask the National Basketball Association.

A new report from the Centers for Disease Control and Prevention gives the play-by-play on an outbreak of gastrointestinal misery that afflicted as many as 13 NBA teams a year ago, spreading rapidly from player to player and from players to team staffers.

Read more
Shots - Health Blog
6:59 pm
Wed October 26, 2011

Advice To Guideline-Writers: Keep Patients Involved in PSA Decision

Hey guys, feeling confused about the fuss over PSA screening for prostate cancer?

Listen up. A couple of docs who ponder such medical dilemmas say there's a middle ground between business-as-usual and throwing PSA tests out altogether.

Read more
Shots - Health Blog
10:54 am
Thu October 20, 2011

After A Half-Million Cholera Cases, Vaccination Will Begin In Haiti

Credit Thony Belizaire / AFP/Getty Images

A Haitian protester in Port-au-Prince last month spray-paints a wall, equating the UN mission in Haiti (abbreviated here as MINISTA) with cholera.

Originally published on Thu October 20, 2011 11:38 am

A year after cholera burst upon earthquake-weary Haiti, plans are afoot to begin vaccinating people against the highly contagious disease.

Nearly half a million Haitians — about 5 percent of the population — have already been afflicted and more than 6,500 have died.

But the goal of the vaccinators isn't to stop cholera in its tracks. They can't do that in Haiti with just 200,000 doses — enough for only 100,000 people — that's all the manufacturer can offer.

Read more
Shots - Health Blog
1:06 pm
Tue October 18, 2011

Experimental Malaria Vaccine Slashes Infection Risk By Half

Originally published on Tue October 18, 2011 3:33 pm

After decades of disappointment, researchers think they're finally on track to unleash the first practical vaccine against malaria, one of mankind's ancient scourges.

In the world's first large field trial of an experimental malaria vaccine, several thousand young children who got three doses had about 55 percent less risk of getting the disease over a year than those who got a control vaccine against rabies or meningitis.

Read more
Shots - Health Blog
4:35 pm
Tue October 11, 2011

Vitamin E Pills May Raise, Not Lower, Prostate Cancer Risk

Credit iStockphoto.com

Vitamins seem like such a good thing that drugstores have whole aisles devoted to them, including products that promise a healthy prostate.

Read more
Shots - Health Blog
7:00 pm
Wed October 5, 2011

Women Exposed To Hormone In Utero Face Lifelong Health Problems

Originally published on Thu October 6, 2011 10:51 am

Back in the 1940s, '50s and '60s, doctors prescribed a hormone called diethylstilbestrol, or DES, to millions of pregnant women in the unfounded belief it would prevent miscarriages.

Smack in the middle of this period, the deformed thalidomide babies demonstrated the terrible things that can happen when drugs are casually prescribed during pregnancy.

Read more
Shots - Health Blog
3:33 pm
Tue October 4, 2011

Surprise In Your Sewage: Lots Of Exotic Viruses

Originally published on Wed October 12, 2011 10:03 am

You think your job is tough? Some scientists examined sewage from Pittsburgh, Barcelona and Addis Ababa in a hunt for unknown viruses.

They found scads. How many? At least 43,381.

To put that number into perspective, consider that up to now scientists have charted only about 3,000 viruses. And among the known viruses found in the sewage samples, only 17 were bugs that cause human disease — things like the common cold virus, diarrhea-causing Norwalk virus and human papilloma virus, or HPV, which causes cervical cancer and genital warts.

Read more
Shots - Health Blog
8:22 am
Mon October 3, 2011

Nobelists Showed How Immune Defenses Work And Go Awry

Working with grasshoppers, fruit flies, mice and human cells, the three scientists who won this year's Nobel Prize in Physiology or Medicine opened important windows on how all these creatures defend themselves against microbial invaders and refrain from attacking their own cells – except when they don't.

It's intricate and complicated stuff, but the two main concepts you need to know are: innate immunity and adaptive immunity.

Read more
Shots - Health Blog
12:01 am
Mon October 3, 2011

Shortages Lead Doctors To Ration Critical Drugs

Credit Elizabeth Larkin for NPR
Laura Zakhar connects her son, Kevin, 15, to the "feedbag" that contains his nutrition. Lately, Zakhar has had trouble getting the calcium solution Kevin needs, in part because hospitals have been reserving limited supplies for patients who need it even more desperately than he does.

Drug shortages mean a growing number of Americans aren't getting the medications they need. That's causing drug companies and doctors to ration available medications in some cases.

"We're now at 213 shortages for this year," says Erin Fox of the University of Utah, who tracks national drug shortages. "That surpasses last year's total of 211. And it doesn't seem like there's an end in sight."

Read more
Shots - Health Blog
6:59 pm
Tue September 20, 2011

Predicting Sexual Function After Prostate Treatment

Credit iStockphoto.com
A study should help men facing prostate cancer treatment get a better sense of how good their sexual function will be down the road.

Up to now doctors couldn't tell a man much about his chances of maintaining sexual function after surgery or radiation for prostate cancer.

"We'd say about half recovered or maintained their function," says Dr. Martin Sanda of Beth Israel Deaconess Medical Center in Boston. "And we'd be able to turn that up or down a little bit based on age."

Read more

Pages