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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Shots - Health Blog
4:33 pm
Fri October 5, 2012

Meningitis Outbreak Update: List Of Hospitals Released

The government has named 75 medical facilities that received a potentially contaminated drug suspected of infecting 47 patients with meningitis nationwide.

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Shots - Health Blog
3:27 pm
Fri October 5, 2012

Arabian Coronavirus: Plot Thickens But Virus Lies Low

Credit BSIP / UIG via Getty Images
Different types of coronaviruses can cause a simple cold or a deadly respiratory illness, such as SARS.

It now appears that the new coronavirus found on the Arabian Peninsula is more widespread than initially thought, even though only two people are known to have gotten sick from it.

At first it seemed likely that the two known cases of illness from the new cousin-of-SARS virus may have been exposed in or near the Saudi Arabian city of Jeddah on the Red Sea coast.

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Shots - Health Blog
1:32 am
Wed October 3, 2012

Why Experts Can Pounce On New Diseases Faster As They Emerge

Credit Greg Baker / AP
A railway worker wearing protective clothing to ward off the SARS virus controls a line of travelers as they wait to enter Beijing's West Railway Station Tuesday in 2003.

Originally published on Wed October 3, 2012 10:37 am

Scientists have recently discovered three new human viruses.

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Shots - Health Blog
3:35 pm
Tue October 2, 2012

Vitamin D No Help For Colds

Credit Michael Kemter / iStockphoto.com
Sorry the vitamin D didn't help.

Originally published on Thu October 4, 2012 7:53 am

Should you take Vitamin D supplements to prevent colds and shorten the misery?

Like other theories about the benefits of vitamin D, it seems like a reasonably good idea. After all, some lab studies suggest vitamin D might enhance immunity. And as everybody knows, people are more prone to respiratory infections during winter, when they cover up and get less vitamin D-generating sunlight.

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Shots - Health Blog
3:56 pm
Thu September 27, 2012

Disease Detectives Catch Deadly African Virus Just As It Emerges

New viruses are popping up all over these days – Heartland virus in Missouri last month, a new virus in the same family as SARS in Saudi Arabia this month. And now, a never-before-seen hemorrhagic fever virus in central Africa.

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Shots - Health Blog
2:43 pm
Tue September 25, 2012

Mini-Counseling Sessions Can Curb Problem Drinking

Credit iStockphoto.com
Just 10 to 15 minutes of counseling from primary care doctors can reduce the risk of "risky" drinking, a federal task force says.

Originally published on Tue September 25, 2012 8:10 pm

Brief counseling from primary care doctors reduces "risky" drinking, defined as having more than four drinks a day for men, three for women, a federal task force says.

About one in three Americans misuse alcohol, the panel says, with the vast majority falling in the "risky" category.

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Shots - Health Blog
4:27 pm
Mon September 24, 2012

Scientists Parse Genes Of Breast Cancer's Four Major Types

Credit iStockphoto.com
Scientists say a new report in the journal Nature provides a big leap in the understanding of how different types of breast cancer differ.

Originally published on Wed November 28, 2012 8:46 am

Scientists have known for a while that breast cancer is really four different diseases, with subtypes among them, an insight that has helped improve treatment for some women.

But experts haven't understood much about how these four types differ. A new report, published online in the journal Nature, provides a big leap in that understanding.

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Shots - Health Blog
1:36 am
Fri September 21, 2012

Swedes Perform Pioneering Uterine Transplants; Americans Not Far Behind

Credit Johan Wingborg / University of Gothenburg
A surgical team with Sahlgrenska University Hospital in Gothenburg, Sweden, performs the first mother-to-daughter uterine transplant.

Originally published on Fri September 21, 2012 7:39 am

A Swedish medical team has transplanted uteruses from two women in their 50s to their daughters. Meanwhile, Shots has learned that an Indiana group is recruiting women willing to undergo womb transplants in this country.

"We could go ahead tomorrow if we found the perfect candidate," Dr. Giuseppe Del Priore told Shots.

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Shots - Health Blog
2:12 pm
Wed September 19, 2012

Tiny Bubbles: Injectable Oxygen Foam Tested For Emergency Care

Credit iStockphoto.com
Bubbles of oxygen injected as a foam might someday help patients live long enough to get treatment for oxygen deprivation.

A lot of medicine's direst emergencies come down to one problem: lack of oxygen.

Cardiologist John Kheir started thinking about that when a little girl in his care, drowning from lung hemorrhages, died before she could be hooked up to a heart-lung machine that would have kept her blood oxygenated while the damage was repaired.

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Shots - Health Blog
1:04 am
Wed September 19, 2012

Ebola's Unlikely Victims: Health Care Workers

Credit Stephen Wandera / AP
A medical worker from the U.S. Centers for Disease Control and Prevention works at the laboratory where Ebola specimens from the Congo were tested at the start of the latest outbreak.

Originally published on Wed September 19, 2012 6:51 am

The Ebola virus continues to strike people in the Democratic Republic of Congo. Since May, the World Health Organization has counted 72 confirmed, probable or suspected cases and 32 deaths.

As usual, a disproportionate share of those cases are health care workers — 23 of them, almost a third.

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Shots - Health Blog
3:30 pm
Wed September 12, 2012

Worst Of West Nile Epidemic Appears To Be Over

Credit Justin Sullivan / Getty Images
Technicians with the Contra Costa County Mosquito and Vector Control District spray insecticide in Brentwood, Calif., last month. Workers fogged areas of the county that had an increase in the numbers of mosquitoes carrying the West Nile virus.

The numbers for West Nile virus cases continue to rise, up 35 percent in the last week. But the Centers for Disease Control and Prevention is confident the nation has turned the corner on its worst-ever epidemic of West Nile virus disease.

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Shots - Health Blog
8:24 am
Tue September 11, 2012

Two Mutations Can Transform A Swine Flu Virus

Credit Seth Perlman / AP
A hog gets a closeup at the Illinois State Fair in August. Officials took special precautions to make sure no livestock sick with a new strain of swine were part of the fair.

Flu pandemics don't happen very often. So many people might feel the relative fizzle of a flu pandemic three years ago somehow immunizes the globe against another one for awhile.

But don't relax, say the authors of a report published online in the Proceedings of the National Academy of Sciences.

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Shots - Health Blog
1:27 am
Mon September 10, 2012

Doctors Take Aim At Epidemic Kidney Stones With Lasers

Originally published on Mon September 10, 2012 3:17 am

The nation is in the midst of a kidney stone epidemic.

New research shows 1 in 10 American men and 1 in 14 women has had one. And prevalence of kidney stones has shot up in recent years.

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Shots - Health Blog
11:23 am
Tue September 4, 2012

Zanzibar Shows Cholera Vaccine Can Protect Even The Unvaccinated

Credit CDC
A vaccine against cholera bacteria like these protected people in Zanzibar.

Originally published on Wed September 5, 2012 12:09 pm

Cholera vaccine gives indirect protection to unvaccinated people in communities where a substantial fraction of the population gets the vaccine, a study in Africa shows.

The effect is called "herd immunity." It works because there are fewer bacteria circulating in communities where vaccination levels are relatively high.

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Shots - Health Blog
6:46 am
Fri August 31, 2012

Tax Breaks For Organ Donors Aren't Boosting Transplant Supply

Credit Brendan Smialowski / AFP/Getty Images
A kidney donor is wheeled to an operating room for a transplant at Johns Hopkins Hospital in Baltimore in late June.

Seventeen states offer tax incentives to people who donate a kidney, a portion of their liver or bone marrow for transplantation. But a study finds these sweeteners aren't working.

Researchers looked at what happened in the years before and after these tax incentives were passed and found no increase in organ donation rates.

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Shots - Health Blog
4:24 pm
Wed August 29, 2012

Mysterious New 'Heartland Virus' Discovered In Missouri

Credit iStockphoto.com
Two men from northwestern Missouri became ill after tick bites infected them with a previously unknown virus.

Originally published on Fri August 31, 2012 7:42 am

Two Missouri farmers have been infected with a brand-new tick-borne virus that the Centers for Disease Control and Prevention is calling the Heartland virus.

The men recovered but suffered serious illness that required hospital care and weeks of convalescence. Symptoms included fever, severe fatigue, headache and nausea. Their platelet counts plummeted, but even though platelets are necessary for blood clotting, the men didn't suffer abnormal bleeding.

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Shots - Health Blog
1:00 pm
Wed August 29, 2012

With West Nile On The Rise, We Answer Your Questions

Credit LM Otero / AP
A Beechcraft airplane sprays insecticide over Dallas early Monday morning to curb the spread of West Nile virus.

Originally published on Fri August 31, 2012 7:45 am

This year is on track to be the worst ever for West Nile virus in the United States. Here are the latest numbers from the Centers for Disease Control and Prevention:

  • 1,590 reported cases, nearly 500 more than a week ago for a rise of 44 percent.
  • 889 cases, or 56 percent, involve severe neurological disease.
  • 66 deaths, compared to 41 last week.
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Shots - Health Blog
8:18 am
Wed August 29, 2012

When Flu Hits, Kids With Neurological Problems Are Vulnerable

Credit Gerry Broome / AP
People wait in line at the Durham County Health Department for the H1N1 flu vaccination in Durham, N.C., in November 2009.

Flu is most deadly for children with neurologic problems and disorders, an analysis of swine flu fatalities finds.

The results come from Centers for Disease Control and Prevention researchers who looked at childhood fatalities during the H1N1 flu pandemic of 2009, when there were five times the usual number of deaths.

In all, 43 percent of the deaths occurred in children who had neurologic diseases, such as cerebral palsy and epilepsy, or developmental disorders.

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Shots - Health Blog
7:42 am
Tue August 21, 2012

Oldest Americans Living Longer, And Are Fitter And Richer, Too

Credit Lisa F. Young / iStockphoto.com
The latest data paint a brighter picture of aging in America.

America's oldest citizens are generally getting healthier, living longer and doing better financially. But there's lots of room for improvement.

That's the take-home from an exhaustive picture of Americans over 65 put together by the federal government and released last week during the summer doldrums.

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Shots - Health Blog
2:14 pm
Fri August 17, 2012

WHO Calls For Emergency Stockpile Of Cholera Vaccine

Credit John Poole / NPR
Thousands of doses of cholera vaccine sit in a refrigerated trailer in a United Nations compound in Saint-Marc, Haiti, in March. After some delays, a vaccination project proved successful.

Originally published on Fri August 17, 2012 3:11 pm

A month ago the results of a successful cholera vaccine project in Haiti became available. Now the World Health Organization is calling for the establishment of a global stockpile of the vaccine to respond to outbreaks like Haiti's.

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Shots - Health Blog
12:49 pm
Fri July 27, 2012

The Value Of HIV Treatment In Couples

Credit Jeff Chiu / AP
Dr. Lisa Sterman holds Truvada pills at her office in San Francisco. The drug was recently approved by the Food and Drug Administration to prevent infection in people at high risk of infection with HIV. The pill, already used to treat people with HIV, also helps reduce the odds they will spread the virus.

Dr. Rochelle Walensky thinks the 19th International AIDS Conference will be remembered as the moment when the world began to mobilize to end the pandemic.

The Harvard researcher probably speaks for many of the 23,000 scientists, activists and policy mavens who came to the Washington conference. But they're going home with a big question on their minds: Can the world afford it?

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Shots - Health Blog
2:16 am
Thu July 26, 2012

Treating Everybody With HIV Is The Goal, But Who Will Pay?

Originally published on Thu July 26, 2012 8:35 am

The big question hanging over the International AIDS Conference this week is whether all 34 million people in the world with HIV can possibly get antiviral drug treatment.

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Shots - Health Blog
4:14 pm
Tue July 24, 2012

Black Teens Are Getting The Message On HIV, But Risks Are Still There

Credit Mike Segar / Reuters/Landov
Condom use has dropped among black youth, even as teens engage in less risky sexual behavior overall.

Originally published on Tue July 24, 2012 5:01 pm

The HIV epidemic among African-Americans is getting deserved new attention at the 19th International AIDS Conference in Washington, D.C. And the news isn't all bad.

New data from the U.S. Centers for Disease Control and Prevention show that black high school students are engaging in risky sexual behavior far less often than they were 20 years ago.

Since black teens are the future of the epidemic for the hardest-hit ethnic group, this is encouraging.

Here are the main results:

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Shots - Health Blog
9:51 am
Tue July 24, 2012

Needle Exchanges Often Overlooked In AIDS Fight

Credit Sutanta Aditya / AFP/Getty Images
A heroin user keeps a syringe tucked behind his ear at a park in the city of Medan on Indonesia's Sumatra island. Cordita-Caritas Medan, a nongovernmental organization active there, works to reduce HIV infections through rehab of drug users and a needle exchange program.

Originally published on Tue July 24, 2012 2:13 pm

There's a lot of buzz at the 19th International AIDS Conference about powerful new strategies to prevent HIV infection.

But a potent old strategy isn't used enough around the world, many researchers say, and is even neglected entirely in places where it's most urgently needed.

It's called needle exchange.

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Shots - Health Blog
1:44 pm
Mon July 23, 2012

San Francisco Thwarts HIV With Wide Testing, Universal Treatment

Credit Richard Knox/NPR
HIV patient Darnell Hollie, 47, talks to her doctor Monica Gandhi (right) at San Francisco General Hospital. Her path from drug addict to model patient was "a lot of work, but if you want it, it's there for you," Hollie says.

Originally published on Mon July 23, 2012 3:19 pm

If you show up at the emergency department at San Francisco General Hospital — for any reason — there's a good chance they'll offer you an HIV test.

It's part of a big push, in a city closely associated with the AIDS pandemic, to find nearly all people infected with the virus and get them in treatment right away.

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Shots - Health Blog
3:29 pm
Wed July 18, 2012

HIV Cure Is Closer As Patient's Full Recovery Inspires New Research

Originally published on Wed July 18, 2012 5:30 pm

Ask AIDS researchers why they think a cure to the disease is possible and the first response is "the Berlin patient."

That patient is a wiry, 46-year-old American from Seattle named Timothy Ray Brown. He got a bone marrow transplant five years ago when he was living in Berlin.

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Shots - Health Blog
12:17 pm
Tue July 17, 2012

Cholera Vaccination Test Reached Targets In Haiti

Credit John W. Poole / NPR
A lone pig roots through trash dumped over the side of a sewage canal that runs from the center of Port au Prince through Cite de Dieu. During the rainy season, the canal overflows its banks and fills nearby houses with sewage, which can carry cholera.

The results are in on this spring's high-visibility pilot project to vaccinate 100,000 Haitians against cholera.

Almost 90 percent of the target population – half in Port-au-Prince and the other half in a remote rural area – got fully protected against cholera, meaning they got 2 doses of the oral vaccine.

The results defy the forecasts of skeptics who said in advance of the campaign that it would be lucky to protect 60 percent of the target populations.

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Shots - Health Blog
1:05 am
Tue July 17, 2012

Deciding On Truvada: Who Should Take New HIV Prevention Pill?

Credit Richard Knox / NPR
Kevin Kirk (left) and James Callahan have been together for more than five years. Recently they sat down and talked about whether Kevin, who is HIV-negative, might want to start taking Truvada.

Originally published on Sat July 28, 2012 9:05 am

There's something new to prevent HIV infections.

The Food and Drug Administration on Monday approved a once-a-day pill that can drastically lower a person's risk of getting the virus that causes AIDS.

It's called Truvada — the first HIV prevention pill.

It's not cheap — around $13,000 a year — and it's not clear what insurers will pay for it. And there's worry that people taking the pill might relax safe-sex precautions.

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AIDS: A Turning Point
1:06 am
Thu July 12, 2012

'Treatment As Prevention' Rises As Cry In HIV Fight

Originally published on Thu July 12, 2012 10:21 am

AIDS researchers, policymakers and advocates are increasingly convinced that treating HIV is one of the best ways of preventing its spread.

The rallying cry is "treatment as prevention," and it's the overarching theme of this month's International AIDS Conference in Washington, D.C.

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Shots - Health Blog
4:15 pm
Tue July 3, 2012

New Home Test For HIV May Cut Down New Infections

Credit Chuck Zovko / AP
The Food and Drug Administration just approved the OraQuick test, which detects the presence of HIV in saliva collected using a mouth swab.

Originally published on Thu July 5, 2012 8:38 am

No infectious disease has ever been detectable by a test that consumers can buy over the counter and get quick results at home. But HIV isn't just any infection. It's a stubborn pandemic virus that's still making people sick and killing them 31 years after it first appeared – even though infection is easily prevented and effectively treated.

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