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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3:06am

Thu July 12, 2012
AIDS: A Turning Point

'Treatment As Prevention' Rises As Cry In HIV Fight

Originally published on Thu July 12, 2012 12:21 pm

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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6:04pm

Tue July 3, 2012
Shots - Health Blog

New Home Test For HIV May Cut Down New Infections

Originally published on Thu July 5, 2012 10:38 am

Credit Chuck Zovko / AP

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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4:04pm

Tue July 3, 2012
Health

Treating HIV: From Impossible To Halfway There

Originally published on Fri July 6, 2012 2:20 pm

This story begins 11 years ago. It was a time when many, if not most, experts said it was unthinkable to treat people with AIDS in developing countries using the triple-drug regimens that were routinely saving the lives of patients in wealthier countries.

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4:37pm

Fri June 22, 2012
Shots - Health Blog

Drug-Resistant Germ In Rhode Island Hospital Raises Worries

Originally published on Fri June 22, 2012 4:39 pm

Credit CDC

A highly resistant form of a common bacterium recently popped up in two Rhode Island patients, only the 12th and 13th times it has been spotted in this country.

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5:29pm

Mon June 18, 2012
Shots - Health Blog

Scientists Find New Wrinkle In How Cholera Got To Haiti

Credit Thony Belizaire/AFP/Getty Images

Most researchers currently believe that United Nations peacekeeping soldiers introduced cholera to Haiti in October of 2010.

After all, Haiti hadn't recorded cholera for as long as a century, Nepal had experienced a cholera epidemic in the months preceding the soldiers' arrival, and the Haitian and Nepalese cholera strains were found to be nearly identical.

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4:41am

Wed June 13, 2012
Shots - Health Blog

Traces Of Virus In Man Cured Of HIV Trigger Scientific Debate

Originally published on Wed June 13, 2012 8:31 am

Credit Richard Knox / NPR

Top AIDS scientists are scratching their heads about new data from the most famous HIV patient in the world — at least to people in the AIDS community.

Timothy Ray Brown, known as the Berlin patient, is thought to be the first patient ever to be cured of HIV infection.

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5:04pm

Wed June 6, 2012
Shots - Health Blog

Drug-Resistant Tuberculosis A 'Serious Epidemic' In China

Credit Ng Han Guan / AP

China's first national survey of tuberculosis has produced some of the worst TB news in years.

Out of the million Chinese who develop TB every year, researchers say at least 110,000 get a form that's resistant to the mainstay drugs isoniazid and rifampin. Patients with such multidrug-resistant or MDR tuberculosis have to be treated for up to two years with expensive second-line drugs that are toxic and less effective.

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11:57am

Thu May 31, 2012
Shots - Health Blog

Sick in America: Hispanics Grapple With Cost And Quality Of Care

Originally published on Thu May 31, 2012 2:27 pm

Credit iStockphoto.com

In our recent poll on what it means to be sick in America, one ethnic group stands out as having special problems – Hispanic Americans.

The national survey, conducted by NPR with the Robert Wood Johnson Foundation and the Harvard School of Public Health, sheds new light on Hispanics' health issues. It runs counter to the widespread impression that African-Americans are worst-off when it comes to the cost and quality of health care.

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7:29pm

Tue May 29, 2012
Shots - Health Blog

Counterfeiters Exploit Shortage To Market Fake Adderall Pills

Originally published on Wed May 30, 2012 8:48 am

Credit FDA/Flickr

A shortage of Adderall began last year, sending millions of people with attention deficit/hyperactivity disorder and narcolepsy on perpetual wild goose chases to find drugstores with the pills they need to stay alert and focused.

So it's not surprising that Adderall counterfeiters have seized a big marketing opportunity. What is surprising is their clumsiness.

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3:22pm

Mon May 28, 2012
Shots - Health Blog

With PSA Testing, The Power Of Anecdote Often Trumps Statistics

Originally published on Tue May 29, 2012 9:46 am

Millions of men and their doctors are trying to understand a federal task force's recommendation against routine use of a prostate cancer test called the PSA.

The guidance, which came out last week, raises basic questions about how to interpret medical evidence. And what role expert panels should play in how doctors practice.

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6:01pm

Tue May 22, 2012
Shots - Health Blog

Easier Colon Cancer Test Works Well, But Colonoscopy's Still King

A big study of a colon cancer test called flexible sigmoidoscopy may provide a good example of how a cheaper, easier-on-the-patient and possibly better technology isn't always the one American doctors choose to use.

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8:31pm

Mon May 21, 2012
Shots - Health Blog

All Routine PSA Tests For Prostate Cancer Should End, Task Force Says

Originally published on Wed May 23, 2012 2:33 pm

Credit Jose Luis Magana / AP

There they go again — those 17 federally appointed experts at the U.S. Preventive Services Task Force are telling American doctors and patients to stop routinely doing lifesaving tests.

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6:46pm

Mon May 21, 2012
Medical Treatments

Task Force: Men Don't Need Regular Prostate Tests

Originally published on Mon May 21, 2012 7:00 pm

A federal task force has concluded that men over 50 don't need a regular blood test for prostate cancer. Millions of men get the test every year. The task force says too many unnecessary treatments are being performed because of the test.

12:33am

Mon May 21, 2012
Shots - Health Blog

Poll: What It's Like To Be Sick In America

Originally published on Mon May 21, 2012 8:21 pm

In the lull between the Supreme Court arguments over the federal health overhaul law and the decision expected in June, we thought we'd ask Americans who actually use the health system quite a bit how they view the quality of care and its cost.

Most surveys don't break it down this way.

When the results came back, we found that people who have a serious medical condition or who've been in the hospital in the past year tended to have more concerns about costs and quality than people who aren't sick. No big surprise there.

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6:10pm

Tue May 15, 2012
Shots - Health Blog

U.S. Funding Of HIV/AIDS Fight Overseas Carries Other Benefits

Credit Shashank Bengali / MCT/Landov

U.S. government spending to fight HIV/AIDS in developing countries is also preventing death from other diseases, a new study finds.

Some experts worry the billions of dollars the United States spends to treat people with HIV in poor countries may crowd out prevention and treatment of other illnesses.

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3:14pm

Wed May 2, 2012
Shots - Health Blog

A Step Forward For Gene Therapy To Treat HIV

Credit PLoS Biology

Millions of people around the world are living with HIV, thanks to drug regimens that suppress the virus. Now there's a new push to eliminate HIV from patients' bodies altogether. That would be a true cure.

We're not there yet. But a report in Science Translational Medicine is an encouraging signpost that scientists may be headed in the right direction.

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8:38am

Tue May 1, 2012
Shots - Health Blog

Lighter Weights Can Still Make A Big Fitness Difference

Originally published on Tue May 1, 2012 1:30 pm

Credit iStockphoto.com

Here's good news for geezers — or for merely middle-aged folks — who'd like to stay fit and independent far into their later years.

You don't have to lift heavy weights to build muscle strength. Lifting lighter weights can be just as effective if you do it right, and you're much less likely to hurt yourself, researchers say.

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4:33pm

Fri April 20, 2012
Shots - Health Blog

Couples Should Get Tested For HIV Together, Treated Right Away, WHO Says

Originally published on Mon April 23, 2012 10:05 am

Credit iStockphoto.com

The World Health Organization is telling couples around the world to get tested together to see if either is infected with HIV.

If one of them is, that partner should start treatment with anti-HIV drugs – even if it's not yet medically necessary.

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5:05pm

Thu April 19, 2012
Shots - Health Blog

Doctors Group Tells Patients To Go For Cheaper, High-Value Treatments

Originally published on Fri April 20, 2012 10:30 am

Credit iStockphoto.com

The American College of Physicians is urging patients with newly diagnosed diabetes and back pain not to opt for the latest-and-supposedly-greatest.

It's part of a new campaign to steer patients (and their doctors) to what the College of Physicians calls "high value care," and away from expensive tests and treatments that aren't any better — and often are worse.

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11:28am

Tue April 17, 2012
Shots - Health Blog

Sebelius To Lend Support To Vaccination Projects In Haiti

Originally published on Tue April 17, 2012 12:34 pm

Credit John W. Poole / NPR

Health and Human Services Secretary Kathleen Sebelius is in Haiti today to support two big vaccination initiatives.

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