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 News
12:06 pm
Mon May 13, 2013

Middle East Virus Spreads Between Hospitalized Patients

Credit NIAID/RML
The new coronavirus has a crown of tentacles on its surface when viewed under the microscope.

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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Shots - Health News
12:49 am
Wed May 8, 2013

Officials Prepare For Another Flu Pandemic — Just In Case

Originally published on Thu May 9, 2013 9:43 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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Shots - Health News
1:03 am
Thu May 2, 2013

Recovery Begins For Mother, Daughter Injured In Boston

Originally published on Fri May 3, 2013 2:19 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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Shots - Health News
1:17 am
Wed May 1, 2013

Mother And Daughter Injured In Boston Bombing Face New Future

Originally published on Thu May 2, 2013 9:59 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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Shots - Health News
3:42 am
Fri April 19, 2013

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

Originally published on Fri April 19, 2013 7:27 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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Explosions At Boston Marathon
6:23 am
Tue April 16, 2013

Boston Doctors Compare Marathon Bomb Injuries To War Wounds

Credit Elise Amendola / AP
Medical personnel work outside the medical tent in the aftermath of two explosions near the finish line of the Boston Marathon on Monday. At area hospitals, doctors say they were confronted with the kinds of injuries U.S. troops get in Iraq and Afghanistan.

Originally published on Wed April 17, 2013 9:26 am

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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Shots - Health News
2:57 am
Sun April 14, 2013

Scientists Race To Stay Ahead Of New Bird Flu Virus

Credit AFP/Getty Images
Workers prepare an H7N9 virus detection kit at the Center for Disease Control in Beijing on April 3.

Originally published on Mon April 15, 2013 7:01 am

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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Shots - Health News
4:04 pm
Fri April 5, 2013

Human Cases Of Bird Flu In China Draw Scrutiny

Credit Wang Zhao / AFP/Getty Images
A cockerel walks on a bridge in a residential area of Beijing. The Chinese are beginning to destroy thousands of birds in an effort to stamp out the presumed source of H7N9 infection.

Originally published on Mon April 8, 2013 4:09 pm

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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Business
3:28 am
Tue April 2, 2013

Novartis Ruling Reverberates Past India's Borders

India's Supreme Court says drug maker Novartis can't hold onto its patent for the pricey cancer drug Gleevec simply by tweaking its chemical formula. That means generic drug makers can keep making a form of the drug at a tenth of Novartis's price — for the Indian market and for other low- and middle-income markets. Consumer advocates call it a major advance for access to generic drugs. Novartis and drug industry allies say it will chill companies' willingness to produce innovative products.

Shots - Health News
1:21 am
Mon April 1, 2013

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

Originally published on Fri April 5, 2013 6:50 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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Shots - Health News
10:39 am
Tue March 19, 2013

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

Credit Mychele Daniau / AFP/Getty Images
A woman gets a mammogram in Putanges, France.

Originally published on Wed March 20, 2013 2:21 pm

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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Shots - Health News
1:22 am
Mon March 18, 2013

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

Originally published on Tue March 19, 2013 8:36 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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Shots - Health News
10:57 am
Fri March 15, 2013

More Patients Keep HIV At Bay Without Antiviral Drugs

Credit National Institute of Allergy and Infectious Diseases
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."

Originally published on Mon March 18, 2013 7:00 am

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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Shots - Health News
10:04 am
Thu March 14, 2013

Cardiac Arrest Survivors Have Better Outlook Than Doctors Think

Credit Bruce Ackerman / Ocala Star-Banner /Landov
Students at the College of Central Florida in Ocala, Fla., perform CPR on a mock patient.

Originally published on Sat March 16, 2013 7:48 am

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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Shots - Health News
4:24 pm
Wed March 13, 2013

Why Relatives Should Be Allowed To Watch CPR On Loved Ones

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

Originally published on Wed March 13, 2013 4:32 pm

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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Shots - Health News
3:10 am
Mon March 11, 2013

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

Credit Spencer Platt / Getty Images
A doctor checks for signs of skin cancer at a free cancer screening day in New York City.

Originally published on Tue March 12, 2013 8:22 am

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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Medical Treatments
2:43 pm
Mon March 4, 2013

Mississippi Toddler Could Be First Child Cured Of HIV

Originally published on Mon March 4, 2013 3:34 pm

A child born with HIV has been cured of the virus, researchers say. Audie Cornish talks to Richard Knox about what was different about this child among the millions who've been treated in the past and what it means for the prospect of an HIV cure in adults.

Shots - Health News
2:41 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 11:02 am

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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Shots - Health News
1:35 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 6:19 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.

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Shots - Health News
7:23 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 2:54 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.

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Shots - Health News
1:34 am
Mon February 18, 2013

Targeted Cancer Drugs Keep Myeloma Patients Up And Running

Originally published on Tue February 19, 2013 1:13 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.

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Shots - Health News
4:13 pm
Tue February 12, 2013

World's Most Popular Painkiller Raises Heart Attack Risk

Credit Wikimedia Commons
The painkiller diclofenac is sold under several brand names in the U.S. and abroad, including Voltaren.

Originally published on Thu February 14, 2013 7:35 am

The painkiller diclofenac isn't very popular in the U.S., but it's by far the most widely used non-steroidal anti-inflammatory drug, or NSAID, in the world.

A slew of studies, though, show diclofenac — sold under the brand names Voltaren, Cambia, Cataflam and Zipsor — is just as likely to cause a heart attack as the discredited painkiller Vioxx (rofecoxib), which was pulled from the U.S. market in 2004.

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Shots - Health News
8:37 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 4:03 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.

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Shots - Health News
1:40 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 11:19 am

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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Shots - Health News
9:55 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 1:55 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.

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Shots - Health News
1:48 am
Thu January 17, 2013

Bad Flu Season Overshadows Other Winter Miseries

Originally published on Thu January 17, 2013 9:11 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."

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Shots - Health News
1:18 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 1:27 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.

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Shots - Health News
3:34 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 9:11 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.

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Shots - Health News
3:49 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 4:46 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.

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Shots - Health News
3:13 am
Tue January 1, 2013

Breast Cancer: What We Learned In 2012

Originally published on Wed January 2, 2013 8:08 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.

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