Richard Knox

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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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

When Melissa McCann (left) suffered a stroke in 2007, her twin sister, Terry Blanchard, helped her make a full recovery. McCann is now back to work as a flight nurse with Life Flight at the Eastern Maine Medical Center in Bangor.
David Wright/Redux Pictures for NPR

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

Catalog Of Gene Markers For Some Cancers Doubles In Size

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

A microscopic image of prostate cancer. Researchers have found new genetic markers that flag a person's susceptibility to the disease, as well as breast and ovarian cancer.
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

A woman gets a mammogram in Putanges, France.
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

Maria Texeira-Gomes holds a photo of her 5-year-old son, Matheo, who has struggled with asthma nearly all his life.
Richard Knox NPR

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

An electron micrograph of HIV particles infecting a human T cell. French researchers say they've found 14 patients with so little HIV virus in their blood that the patients have gone into "long-term remission."
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

Students at the College of Central Florida in Ocala, Fla., perform CPR on a mock patient.
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

A recent study finds that relatives present during resuscitation attempts suffer fewer psychological effects later.
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

A doctor checks for signs of skin cancer at a free cancer screening day in New York City.
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

Although tuberculosis is declining around the world, drug-resistant strains of Mycobacterium tuberculosis are on the rise.
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 Thu March 20, 2014 4:35 pm

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

By taking antiretroviral drugs during pregnancy, this Tanzanian mother lowered the risk of passing HIV to her daughter.
Siegfried Modola AFP/Getty Images

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

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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9:23am

Thu February 21, 2013
Shots - Health News

Medical Waste: 90 More Don'ts For Your Doctor

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

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

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.

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3:34am

Mon February 18, 2013
Shots - Health News

Targeted Cancer Drugs Keep Myeloma Patients Up And Running

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

Don Wright runs at an indoor track at the Maplewood Community Center in North Saint Paul, Minn.
Ariana Lindquist for NPR

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.

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6:11pm

Wed February 13, 2013
Shots - Health News

Report: Action Needed To Wipe Out Fake And Substandard Drugs

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

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

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.

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4:44pm

Fri February 8, 2013
Shots - Health News

Widely Used Stroke Treatment Doesn't Help Patients

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

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

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.

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10:37am

Mon February 4, 2013
Shots - Health News

Experimental Tuberculosis Vaccine Fails To Protect Infants

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

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

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.

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3:40am

Thu January 24, 2013
Shots - Health News

Female Smokers Face Greater Risk Than Previously Thought

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

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

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.

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11:55am

Wed January 23, 2013
Shots - Health News

Old Drug Extends Life For Pancreatic Cancer Patients

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

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

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.

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3:48am

Thu January 17, 2013
Shots - Health News

Bad Flu Season Overshadows Other Winter Miseries

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

People line up at a Duane Reade pharmacy in New York behind a sign announcing the recent flu outbreak.
Andrew Kelly Reuters/Landov

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."

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3:18am

Mon January 14, 2013
Shots - Health News

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

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

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.
Richard Knox NPR

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.

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5:34am

Sat January 12, 2013
Shots - Health News

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

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

Haitians protest against the United Nations peacekeepers in Port-au-Prince in November 2010.
Hector Retamal AFP/Getty Images

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.

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5:49pm

Wed January 9, 2013
Shots - Health News

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

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

iStockphoto.com

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.

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4:59am

Tue January 1, 2013
Shots - Health News

Breast Cancer: What We Learned In 2012

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

Betty Daniel gets a routine yearly mammogram from mammography tech Stella Palmer at Mount Sinai Hospital in Chicago in 2012.
Heather Charles MCT/Landov

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.

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1:47pm

Thu December 20, 2012
Shots - Health News

Merck: Niacin Drug Mix Fails To Prevent Heart Attacks, Strokes

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.

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1:20pm

Tue December 18, 2012
Shots - Health News

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

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

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

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.

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3:23am

Mon December 10, 2012
Shots - Health News

As Childhood Strokes Increase, Surgeons Aim To Reduce Risks

Originally published on Mon December 10, 2012 3:08 pm

Maribel Ramos, 13, has both sickle cell disease and an abnormality of blood vessels called moyamoya. Both put her at risk of stroke, and, together, they add up to a 95 percent chance of a major stroke.
Richard Knox NPR

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.

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5:04pm

Fri November 30, 2012
Shots - Health News

SARS-Like Virus Found In Jordan, Hunt Is On For Other Cases

Originally published on Sat December 1, 2012 9:46 am

The World Health Organization says a new coronavirus has killed two people in Jordan — the third country where the novel microbe has been traced.

That brings lab-confirmed cases to nine, with five fatalities.

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3:54pm

Thu November 29, 2012
Shots - Health News

Clinton Reveals Blueprint For An 'AIDS-Free Generation'

Originally published on Fri November 30, 2012 8:52 am

United Nations Aids Executive Director Michel Sibide hugs Secretary of State Hillary Clinton after they they presented the a road map for stopping HIV around the world.
Jim Watson AFP/Getty Images

Before Secretary of State Hilary Rodham Clinton passes the reins to her successor, she's got a few loose ends to tie up. One of them is mapping out the U.S.'s continuing efforts to combat AIDS around the world.

So today she unveiled a "blueprint" for what she called an "AIDS-free generation."

Now Clinton isn't talking about ending the HIV pandemic altogether. Rather, she hopes to prevent most new infections from occurring in the first place and to stop HIV-positive people from developing AIDS.

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10:44am

Wed November 28, 2012
Shots - Health News

More Women Choose Double Mastectomy, But Study Says Many Don't Need It

Originally published on Thu November 29, 2012 4:10 pm

It's a startling trend: Many women with cancer in one breast are choosing to have their healthy breast removed, too.

But a study being presented later this week says more than three-quarters of women who opt for double mastectomies are not getting any benefit because their risk of cancer developing in the healthy breast is no greater than in women without cancer.

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