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.

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12:53pm

Thu June 13, 2013
Shots - Health News

Prevention Pill Cuts HIV Risk For Injecting Drug Users

Credit Jeff Chiu / AP

A once-a-day pill has been proven to lower the risk of getting HIV among needle-using drug addicts, just as it does among heterosexual couples and men who have sex with men.

Among 2,400 injecting drug users in Bangkok, those assigned to take a daily dose of an antiviral drug Viread, or tenofovir generically, had half the risk of getting HIV over a four-year period as those who took a placebo pill. Among those who took tenofovir faithfully, there were 74 percent fewer infections.

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4:31pm

Mon June 10, 2013
Shots - Health News

Triple Threat: Middle East Respiratory Virus And 2 Bird Flus

Originally published on Tue June 11, 2013 8:11 am

The World Health Organization is warning health care workers everywhere to suspect a disease called Middle Eastern Respiratory Syndrome, or MERS, whenever they see a case of unexplained pneumonia.

Monday's warning comes at the end of a six-day WHO investigation in Saudi Arabia, where 40 of the 55 cases of the respiratory disease have occurred. Sixty percent of those people with known infections died.

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8:59am

Thu June 6, 2013
Shots - Health News

NIH Chief Rejects Ethics Critique Of Preemie Study

Originally published on Fri June 7, 2013 8:26 am

Credit Charles Dharapak / AP

The chief of the National Institutes of Health is disavowing a ruling from the government office that oversees the ethics of human research.

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2:19am

Tue June 4, 2013
Shots - Health News

Obama Administration Seeks To Loosen Antibiotic Approvals

Originally published on Tue June 4, 2013 5:15 pm

Credit Janice Haney Carr / CDC

Every day in hospitals all over America, thousands of patients die of infections that used to be curable. But the antibiotics used to treat them aren't working anymore.

It's called drug resistance, and it's largely a consequence of antibiotics overuse. The more germs are exposed to antibiotics, the faster they mutate to evade being vanquished.

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3:34am

Mon June 3, 2013
Shots - Health News

A Boston Family's Struggle With TB Reveals A Stubborn Foe

Originally published on Tue June 4, 2013 9:10 am

Thanks to gold-standard tuberculosis treatment and prevention programs, cases of TB in the United States have declined every year for the past two decades — to the lowest level ever.

But TB's course through the Williams family in Boston shows that no nation can afford to relax its efforts to find, treat and prevent TB. It's just too sneaky and stubborn an adversary.

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2:15pm

Fri May 31, 2013
Shots - Health News

Young Women With Breast Cancer Opting For Mastectomy

Credit Damian Dovarganes / AP

Most women diagnosed with breast cancer when they're 40 or younger are choosing mastectomy rather than more limited and breast-conserving lumpectomy plus radiation, a study of women in Massachusetts finds.

Moreover, most of those choosing mastectomy elect to have the other, noncancerous breast removed, too.

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3:52pm

Thu May 23, 2013
Shots - Health News

Researchers Find Bird Flu Is Contagious Among Ferrets

Credit iStockphoto.com

Scientists have completed the first assessments of how readily the H7N9 flu virus in China can pass among ferrets and pigs. The mammals provide the best inkling of how dangerous these bugs may become for humans.

The news is both bad and good. They've found the new bird virus is easily passed between ferrets sharing the same cage.

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1:57pm

Mon May 13, 2013
Shots - Health News

Middle East Virus Spreads Between Hospitalized Patients

Originally published on Mon May 13, 2013 2:06 pm

Credit NIAID/RML

It's been eight months since a Saudi Arabian doctor described a previously unknown virus related to SARS. And for most of that time only germ geeks paid much attention.

But in the past few days the new virus — which some would like to call MERS-CoV, for Middle East Respiratory Syndrome Coronavirus — has been making up for lost time.

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2:49am

Wed May 8, 2013
Shots - Health News

Officials Prepare For Another Flu Pandemic — Just In Case

Originally published on Thu May 9, 2013 11:43 am

There's been a buzz of activity at the Centers for Disease Control and Prevention in Atlanta since scientists got their first samples of a new bird flu virus from China four weeks ago.

Already they've prepared "seed strains" of the virus, called H7N9, and distributed them to vaccine manufacturers so the companies can grow them up and make them into experimental flu vaccine.

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3:03am

Thu May 2, 2013
Shots - Health News

Recovery Begins For Mother, Daughter Injured In Boston

Originally published on Fri May 3, 2013 4:19 pm

The number of Boston bombing victims still in the hospital dropped to 19 as of Wednesday evening. The great majority have gone home or to a rehab facility.

That's what has happened with Celeste and Sydney Corcoran, a mother-daughter pair who ended up in the same hospital room after being struck down by the first marathon bomb blast.

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3:17am

Wed May 1, 2013
Shots - Health News

Mother And Daughter Injured In Boston Bombing Face New Future

Originally published on Thu May 2, 2013 11:59 am

Forty-seven-year-old Celeste Corcoran is propped up in her hospital bed. In a nearby window is a forest of blooming white orchids from well-wishers. On the opposite wall, a big banner proclaims "Corcoran Strong."

She's recalling how thrilled she was to be near the finish line of the Boston Marathon, waiting for her sister Carmen Accabo to run by. "I just remember standing there, wanting to be as close as I could to catch her," Corcoran says. "I really just needed to see her face."

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12:04pm

Fri April 26, 2013
Shots - Health News

Failure Of Latest HIV Vaccine Test: A 'Huge Disappointment'

Originally published on Fri April 26, 2013 1:14 pm

Credit CDC

The largest current study of an AIDS vaccine, involving 2,500 people, is being stopped.

After an oversight committee took a preliminary peek at the results this past Monday, they concluded there was no way the study would show that the vaccine prevents HIV infection.

Nor would the vaccine suppress the wily virus among people who get infected despite being vaccinated.

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4:13pm

Thu April 25, 2013
Shots - Health News

Researchers Find Hormone That Grows Insulin-Producing Cells

Originally published on Thu April 25, 2013 5:04 pm

Credit Masur / Wikimedia.org

The work is only in mice so far, but it sure is intriguing.

A newly found hormone revs up production of cells that make insulin — the very kind that people with advanced diabetes lack.

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5:42am

Fri April 19, 2013
Shots - Health News

With Bird Flu, "Right Now, Anything Is Possible"

Originally published on Fri April 19, 2013 9:27 pm

An international dream team of flu experts assembled in China today.

Underscoring the urgency that public health agencies feel about the emergence of a new kind of bird flu, the team is headed by Dr. Keiji Fukuda, the World Health Organization's top influenza scientist.

Before he left Geneva, Fukuda explained the wide-open nature of the investigation in an interview with NPR.

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8:38am

Tue April 16, 2013
Shots - Health News

Boston Doctors Compare Marathon Bomb Injuries To War Wounds

Originally published on Wed April 17, 2013 11:26 am

Credit Elise Amendola / AP

Boston hospitals always staff up their emergency rooms on Marathon Day to care for runners with cramps, dehydration and the occasional heart attack.

But Monday, those hospitals suddenly found themselves with more than 100 traumatized patients — many of them with the kinds of injuries seen more often on a battlefield than a marathon.

Like most big-city hospitals these days, Tufts Medical Center runs regular disaster drills, featuring simulated patients smeared with fake blood.

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4:57am

Sun April 14, 2013
Shots - Health News

Scientists Race To Stay Ahead Of New Bird Flu Virus

Originally published on Mon April 15, 2013 9:01 am

Credit AFP/Getty Images

A precious package arrived at the Centers for Disease Control and Prevention last Thursday afternoon.

Inside, packed in dry ice to keep it frozen, was a vial containing millions of viruses derived from a 35-year-old Chinese housewife who died last Tuesday of respiratory and kidney failure.

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3:15pm

Wed April 10, 2013
Shots - Health News

Feds Fault Preemie Researchers For Ethical Lapses

Originally published on Thu April 11, 2013 9:04 am

Credit iStockphoto.com

Federal officials say a large study of premature infants was ethically flawed because doctors didn't inform the babies' parents about increased risks of blindness, brain damage and death.

The study involved more than 1,300 severely premature infants at nearly two dozen medical institutions between 2004 and 2009. The infants were randomly assigned to receive two different levels of oxygen to see which was better at preventing blindness without increasing the risk of neurologic damage or death.

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6:04pm

Fri April 5, 2013
Shots - Health News

Human Cases Of Bird Flu In China Draw Scrutiny

Originally published on Mon April 8, 2013 6:09 pm

Credit Wang Zhao / AFP/Getty Images

Sixteen cases of a new flu around Shanghai have touched off a major effort to determine what kind of threat this new bug might be.

The victims range in age from 4 to 87 years old. Six have died. It is a tragedy for them and their families, but is it a global crisis?

To understand why so few cases are generating so much concern, the first thing to know is that no flu virus like this one — called H7N9 — has ever been known to infect humans before.

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3:21am

Mon April 1, 2013
Shots - Health News

As Stroke Risk Rises Among Younger Adults, So Does Early Death

Originally published on Fri April 5, 2013 8:50 am

Most people (including a lot of doctors) think of a stroke as something that happens to old people. But the rate is increasing among those in their 50s, 40s and even younger.

In one recent 10-year period, the rate of strokes in Americans younger than 55 went up 84 percent among whites and 54 percent among blacks. One in 5 strokes now occurs in adults 20 to 55 years old — up from 1 in 8 in the mid-1990s.

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1:20pm

Wed March 27, 2013
Shots - Health News

Catalogue Of Gene Markers For Some Cancers Doubles In Size

Originally published on Wed March 27, 2013 1:41 pm

Credit Otis Brawley / National Cancer Institute

The largest gene-probing study ever done has fished out dozens of new genetic markers that flag a person's susceptibility to breast, ovarian and prostate cancer.

The 74 newly discovered genetic variants double the previously known number for these malignancies, all of which are driven by sex hormones.

Underscoring the sheer magnitude of the findings, they're contained in 15 scientific papers published simultaneously by five different journals. The Nature group of journals has collected them all here.

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12:39pm

Tue March 19, 2013
Shots - Health News

Sorting Out The Mammogram Debate: Who Should Get Screened When?

Originally published on Wed March 20, 2013 4:21 pm

Credit Mychele Daniau / AFP/Getty Images

Mammography outcomes from nearly a million U.S. women suggest which ones under 50 would stand the greatest chance of benefiting from regular screening: those with very dense breasts.

That's been a bone of contention ever since a federal task force declared nearly four years ago that women younger than 50 shouldn't routinely get the test.

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3:22am

Mon March 18, 2013
Shots - Health News

To Control Asthma, Start With The Home Instead Of The Child

Originally published on Tue March 19, 2013 10:36 am

Nothing sends more kids to the hospital than asthma.

So when doctors at Children's Hospital in Boston noticed they kept seeing an unusually high number of asthmatic kids from certain low-income neighborhoods, they wondered if they could do something about the environment these kids were living in.

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12:57pm

Fri March 15, 2013
Shots - Health News

More Patients Keep HIV At Bay Without Antiviral Drugs

Originally published on Mon March 18, 2013 9:00 am

Credit National Institute of Allergy and Infectious Diseases

Just last week AIDS researchers were excited about a Mississippi toddler whose blood has remained free of HIV many months after she stopped getting antiviral drugs – what doctors call a "functional cure."

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12:04pm

Thu March 14, 2013
Shots - Health News

Cardiac Arrest Survivors Have Better Outlook Than Doctors Think

Originally published on Sat March 16, 2013 9:48 am

Credit Bruce Ackerman / Ocala Star-Banner /Landov

Every day something like 550 hospitalized Americans suffer cardiac arrest. That's bad news. Only about one in five will live to leave the hospital.

But for the lucky 44,000 a year who are resuscitated and survive, the outlook is much better than expected, authors of a new study say.

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6:32pm

Wed March 13, 2013
Shots - Health News

Why Relatives Should Be Allowed To Watch CPR On Loved Ones

Credit istockphoto.com

Picture this: Your spouse or child has collapsed and isn't breathing. You call 911, and the paramedics rush in and take charge. But you are banished to another room while the medical people try to bring your loved one back to life.

It's about the most stressful scene imaginable. And it's what usually happens.

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4:34am

Mon March 11, 2013
Shots - Health News

Aspirin Vs. Melanoma: Study Suggests Headache Pill Prevents Deadly Skin Cancer

Originally published on Tue March 12, 2013 10:22 am

Credit Spencer Platt / Getty Images

It's not the first study that finds the lowly aspirin may protect against the deadliest kind of skin cancer, but it is one of the largest.

And it adds to a mounting pile of studies suggesting that cheap, common aspirin lowers the risk of many cancers — of the colon, breast, esophagus, stomach, prostate, bladder and ovary.

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11:05am

Fri March 8, 2013
Shots - Health News

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

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

Credit NIAID/Flickr.com

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.

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4:41pm

Sun March 3, 2013
Shots - Health News

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

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

Credit NIAID_Flickr

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.

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5:06pm

Thu February 28, 2013
Shots - Health News

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.

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3:35am

Wed February 27, 2013
Shots - Health News

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

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

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

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.

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