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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Shots - Health News
3:05 pm
Tue November 19, 2013

Critics Warn Latest Cholesterol Guidelines Invite Overtreatment

Alan Crawford iStockphoto

Originally published on Tue November 19, 2013 3:15 pm

The launch of new treatment guidelines isn't a good time for confusion and controversy.

But that's precisely what's happening to a set of sweeping new guidelines aimed at slashing the U.S. rate of heart attacks and strokes — the first reboot of such advice in seven years.

If such guidelines are going to work, Dr. Steven Nissen points out, they have to convince.

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Shots - Health News
4:43 pm
Tue November 12, 2013

Shift In Cholesterol Advice Could Double Statin Use

Statin drugs to lower cholesterol have become among the most widely prescribed prescription medications in the United States.
Bill Gallery ASSOCIATED PRESS

Originally published on Thu November 14, 2013 1:57 pm

After decades of cajoling Americans to know their cholesterol level and get it down as low as possible, the nation's leading heart specialists are changing course.

Cholesterol is still important. But new guidelines published Tuesday afternoon throw out the notion that a specific blood cholesterol level should automatically trigger treatment with cholesterol-lowering drugs.

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Shots - Health News
2:01 am
Tue November 12, 2013

WHO Rates Typhoon's Medical Challenges "Monumental"

A woman comforts a pregnant relative suffering labor pains at a makeshift birthing clinic in typhoon-battered city of Tacloban, Philippines on Nov. 11.
Erik de Castro Reuters /Landov

Images of the swath of devastation wrought by Typhoon Haiyan in the central Philippines are reminiscent of the tsunami's aftermath in Banda Aceh, Indonesia nearly a decade ago.

And indeed, the World Health Organization grades the great typhoon of 2013 as a Category 3 disaster – its most severe category.

"The scale [of the typhoon's damage] is huge," Dr. Richard Brennan of the World Health Organization tells Shots. "It's monumental. This is one of the biggest emergencies we've dealt with in some time."

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Shots - Health News
9:32 am
Tue November 5, 2013

Insurance Cancellations: The Price Of Mending A Broken System?

iStockphoto.com

Originally published on Tue November 5, 2013 11:36 am

Lisa Dieckman, a retired psychologist in Los Angeles, likes the Affordable Care Act's promise that everybody can get health insurance. But she's not happy about being told she can't keep her own coverage and will have to pay considerably more for a policy she doesn't consider any better.

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Health Care
3:02 am
Tue November 5, 2013

Insurance Firms Forced To Cancel Many Individual Policies

Originally published on Tue November 5, 2013 4:08 am

More than 12 million Americans buy health insurance on their own, and many are getting cancellation notices because their individual coverage does not meet the standards of the Affordable Care Act. This is causing anxiety and anger — especially since most of these people can't get onto the healthcare.gov website to figure out their options for 2014.

Shots - Health News
10:47 am
Thu October 31, 2013

AIDS Scientists Encouraged By Antibodies That Hit Monkey Virus

These HIV viruses even look a little like bull's-eyes.
A. Harrison and P. Feorino CDC

Originally published on Thu October 31, 2013 2:15 pm

Scientists have a new idea for beating HIV: Target the virus with guided missiles called monoclonal antibodies.

At least in monkeys infected with an experimental virus similar to the human AIDS virus, the approach produced what researchers call "profound therapeutic efficacy."

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Shots - Health News
4:21 pm
Wed October 23, 2013

A Toddler Remains HIV-Free, Raising Hope For Babies Worldwide

HIV-positive babies rest in an orphanage in Nairobi, Kenya. Treatment right after birth may make it possible for HIV-positive newborns to fight off the virus.
Brent Stirton Getty Images

Originally published on Wed October 23, 2013 5:31 pm

A 3-year-old girl born in Mississippi with HIV acquired from her mother during pregnancy remains free of detectable virus at least 18 months after she stopped taking antiviral pills.

New results on this child, published online by the New England Journal of Medicine, appear to green-light a study in the advanced planning stages in which researchers around the world will try to replicate her successful treatment in other infected newborns.

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Shots - Health News
2:12 am
Wed October 23, 2013

Haitian Cholera Strain Spreads To Mexico

A nurse treats a cholera patient at the Juan Pablo Pina Hospital in San Cristobal, Dominican Republic, in August. Health officials say that the strain of cholera circulating in the country— the same one that first appeared in Haiti three years ago — has also caused outbreaks in Cuba and now Mexico.
Erika Santelices AFP/Getty Images

Originally published on Wed October 23, 2013 12:21 pm

A South Asian strain of cholera that was introduced into Haiti three years ago this month has now spread to this continent's mainland.

Mexico is the fourth Western Hemisphere country to experience the cholera outbreak. It's a disease that's very hard to stamp out once it gets into an area with poor water and sanitation.

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Shots - Health News
11:01 am
Fri October 18, 2013

To Prevent HIV Infection, Couples Try Testing Together

David Lozano (left) and Kevin Kreinbring stand in front of a painting created by Lozano. The couple says they get tested for HIV together every six months.
Courtesy of David Lozano

Originally published on Fri October 18, 2013 11:56 am

Getting tested for HIV in the U.S. is almost always private, sometimes even secretive. Ditto for disclosing the results.

But some say the approach is outmoded at a time when many at risk for HIV — gay men — are in committed relationships.

Research shows as many as two-thirds of new HIV infections among gay men these days are within committed couples. That's very different from the days when promiscuity fueled the epidemic.

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Shots - Health News
2:12 pm
Sat October 12, 2013

First Malaria Vaccine Moves A Step Closer To Approval

A health worker administers the malaria vaccine at a clinical trial in Kilifi, Kenya.
Joseph Okanga Reuters /Landov

Originally published on Tue October 8, 2013 12:50 pm

A malaria vaccine studied in more than 15,000 African children has been found to reduce the number of cases of disease by 27 to 46 percent.

That's only modest efficacy compared to most accepted vaccines. But this would be the first anti-malarial immunization on the market, and its developers emphasize that it still prevents a lot of cases. Its main sponsor, GlaxoSmithKline, says it's good enough to justify seeking regulatory approval in 2014.

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