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
11:37 am
Fri January 10, 2014

Half Of A Drug's Power Comes From Thinking It Will Work

iStockphoto

Originally published on Fri January 10, 2014 12:37 pm

When you take a pill, you and your doctor hope it will work — and that helps it work.

That's not a new idea. But now researchers say they know just how much of a drug's effect comes from the patient's expectation: at least half.

When patients in the midst of a migraine attack took a dummy pill they thought was a widely used migraine drug, it reduced their pain roughly as much as when they took the real drug thinking it was a placebo.

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Shots - Health News
3:03 pm
Tue January 7, 2014

50 Years After Landmark Warning, 8 Million Fewer Smoking Deaths

Tobacco companies incorporated doctors in their ads, such as this 1930 Lucky Strike campaign, to convince the public that smoking wasn't harmful.
Stanford University

Originally published on Wed January 8, 2014 12:22 pm

Saturday marks an important milestone in public health – the 50th anniversary of the first Surgeon General's Report on Smoking and Health.

Few if any documents have had the impact of this one — both on the amount of disease and death prevented, and on the very scope of public health.

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Shots - Health News
12:22 am
Mon December 30, 2013

$1,000 Pill For Hepatitis C Spurs Debate Over Drug Prices

Originally published on Thu February 6, 2014 12:43 pm

Federal regulators this month opened a new era in the treatment of a deadly liver virus that infects three to five times more people than HIV. Now the question is: Who will get access to the new drug for hepatitis C, and when?

The drug Sovaldi will cost $1,000 per pill. A typical course of treatment will last 12 weeks and run $84,000, plus the cost of necessary companion drugs. Some patients may need treatment for twice as long.

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Shots - Health News
7:03 am
Sat December 7, 2013

Gene Therapy Keeps 'Bubble Boy' Disease At Bay In 8 Children

David Vetter was born without a functioning immune system and spent his life in a bubble that protected him from germs. He died at age 12 in 1984. Scientists are using gene therapy to treat the disorder so that children can live normally.
Science Source

Researchers say they are achieving success in curing the genetic defect that causes some children to be born without immune defenses, a rare condition made famous in the 1970s by a Texas boy who lived most of his short life in a sterile "bubble."

Scientists now report that 8 out of 9 young children given gene therapy for a type of severe combined immunodeficiency disease, called SCID-X1, are alive and living amid the everyday microbial threats that would otherwise have killed them. The oldest is just over 3 years old.

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Shots - Health News
9:20 am
Fri December 6, 2013

Hoped-For AIDS Cures Fail In 2 Boston Patients

The HIV virus has proven once again that it can evade detection in the body.
BSIP UIG via Getty Images

Originally published on Fri December 6, 2013 10:15 am

HIV has reappeared in the blood of two Boston patients who scientists had hoped had been cured of their infections.

This disappointing development, reported by The Boston Globe's Kay Lazar, is yet another cautionary tale of how researchers can never afford to underestimate the human immunodeficiency virus's ability to hide out in patients' bodies and overcome their most ingenious efforts to eliminate it.

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Shots - Health News
1:55 pm
Mon December 2, 2013

Obama Launches HIV Cure Initiative, Ups Pledge For Global Health

President Obama walks into an auditorium in the Eisenhower Executive Office Building Monday for a speech about World AIDS Day.
Carolyn Kaster AP

Originally published on Mon December 2, 2013 2:45 pm

Commemorating the 25th World AIDS Day a day late, President Obama announced an initiative Monday to find a cure for HIV infections that would be funded by $100 million shifted from existing spending.

"The United States should be at the forefront of new discoveries into how to put people into long-term remission without requiring lifelong therapies — or better yet, eliminate it completely," Obama said at a meeting in the Eisenhower Executive Office Building next to the White House.

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Shots - Health News
2:43 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 11:57 am

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
12:01 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
7:29 am
Tue November 5, 2013

Insurance Cancellations: The Price Of Mending A Broken System?

iStockphoto.com

Originally published on Tue November 5, 2013 9:36 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
1:02 am
Tue November 5, 2013

Insurance Firms Forced To Cancel Many Individual Policies

Originally published on Tue November 5, 2013 2:08 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.

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