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
5:11 pm
Wed August 14, 2013

Evidence Supports Pill To Prevent Some Prostate Cancers

The active ingredient in Propecia, a baldness remedy approved by the Food and Drug Administration in 1997, is showing new promise as a way to prevent some prostate cancers.
AP

Originally published on Fri August 16, 2013 8:40 am

Researchers say a cheap, generic pill called finasteride prevents almost 40 percent of low-grade prostate cancers without increasing the risk of dying from more aggressive tumors.

New evidence points to the drug as a potentially safer way to deal with prostate cancers that now get more intense treatment. Many prostate cancers that aren't destined to cause men serious health problems are often treated with surgery or radiation.

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Shots - Health News
3:34 pm
Wed July 31, 2013

Nurse Charged With Assisting In Her Father's Death

Barbara Mancini with her father, Joe Yourshaw.
Barbara Mancini via Compassion & Choices

Originally published on Wed July 31, 2013 6:22 pm

A Philadelphia nurse has been charged with assisted suicide for allegedly providing her 93-year-old father with a lethal dose of morphine.

Authorities say Barbara Mancini, 57, told a hospice nurse and a police officer on Feb. 7 that she provided a vial of morphine to her father, Joe Yourshaw, to hasten his death.

Mancini and her attorneys acknowledge she handed the medication to her father, but maintain she never said she intended to help him end his life and was only trying to help her father ease his pain — an act they say is legally protected, even if it causes death.

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Shots - Health News
6:09 pm
Mon July 29, 2013

Panel Urges Lung Cancer Screening For Millions Of Americans

Some images of lung cancer are clear cut. But in many others, a nodule on the screen turns out not to be cancer at all.
iStockphoto.com

Originally published on Thu August 22, 2013 2:24 pm

A federal task force is planning to recommend that millions of smokers and former smokers get a CT scan annually to look for early signs of lung cancer.

The 16-member US Preventive Services Task Force gives that lung cancer screening test a grade of B, which puts it on the same level as mammography for women between the ages of 50 and 74.

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Shots - Health News
2:58 pm
Fri July 19, 2013

HPV Vaccination Might Help Reduce Risk Of Throat Cancers

Vaccines against the HPV virus are already used to prevent cervical and anal cancer.
Harry Cabluck AP

Originally published on Tue July 23, 2013 4:29 pm

A study of women in Costa Rica is raising hope that getting vaccinated against the human papillomavirus, or HPV, could lower the risk of throat cancers.

The research doesn't show that. It would take a much bigger and longer study to do that – if such a study could ethically be done at all.

What this study does show is that among the nearly 6,000 women in the study, those who got vaccinated against two strains of the virus had 93 percent fewer HPV throat infections four years later.

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Shots - Health News
5:05 pm
Thu July 18, 2013

For A Long And Healthy Life, It Matters Where You Live

It's not just living longer that matters. It's living healthier longer.
iStockphoto.com

Originally published on Thu July 18, 2013 5:11 pm

It's not just how long you live that matters. It's healthy life expectancy – the additional years of good health you can expect once you hit 65.

And by that measure, a new analysis shows it makes a lot of difference where Americans live.

Hawaiians are lucky in more than their idyllic weather and gorgeous scenery. Seniors there can expect a little more than 16 years of healthy life after 65. Women in Hawaii can expect more than 17 years.

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Shots - Health News
3:17 am
Thu July 18, 2013

Tuberculosis Outbreak Shakes Wisconsin City

Dale Hippensteel, manages the Sheboygan County health department.
Jeffrey Phelps For NPR

Originally published on Thu July 18, 2013 7:45 am

Looking crisp and official in his khaki-colored sheriff's department polo shirt, Steve Steinhardt says Sheboygan, Wis., is a pretty good place to be a director of emergency services.

"Nothing bad happens here," he says, knocking on wood. Unless, that is, you count the tuberculosis outbreak that struck the orderly Midwestern city of 50,000 this spring and summer.

"I never expected TB to be one of the bigger emergencies I'd face when I got into this field," Steinhardt says.

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Shots - Health News
9:04 am
Thu June 20, 2013

Outbreak In Saudi Arabia Echoes SARS Epidemic 10 Years Ago

Saudi men walk to the King Fahad hospital in the city of Hofuf on Sunday. In eastern Saudi Arabia, where outbreaks of the MERS virus have been concentrated, people have resumed their habits of shaking hands and kissing.
Fayez Nureldine AFP/Getty Images

A detailed analysis of how the disease called Middle East Respiratory Syndrome spread through four Saudi Arabian hospitals this spring reveals disturbing similarities to the SARS pandemic that terrified the world a decade ago.

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Shots - Health News
3:46 pm
Wed June 19, 2013

Vaccine Against HPV Has Cut Infections In Teenage Girls

A 13-year-old girl gets an HPV vaccination from Judith Schaechter, a pediatrician at the University of Miami, in 2011.
Joe Raedle Getty Images

Originally published on Wed June 19, 2013 10:18 pm

A vaccine against human papillomavirus — the most common sexually transmitted infection and the cause of almost all cervical cancer — is dramatically reducing the prevalence of HPV in teenage girls.

The first vaccine against HPV, Merck's Gardasil, was approved by the Food and Drug Administration in 2006. Cerverix, from GlaxoSmithKline, was approved in 2009.

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Shots - Health News
12:53 pm
Thu June 13, 2013

Prevention Pill Cuts HIV Risk For Injecting Drug Users

The Centers for Disease Control and Prevention says doctors should prescribe Truvada, a once-a-day pill for HIV, to help prevent infections in IV drug users.
Jeff Chiu AP

A once-a-day pill has been proven to lower the risk of getting HIV among needle-using drug addicts, just as it does among heterosexual couples and men who have sex with men.

Among 2,400 injecting drug users in Bangkok, those assigned to take a daily dose of an antiviral drug Viread, or tenofovir generically, had half the risk of getting HIV over a four-year period as those who took a placebo pill. Among those who took tenofovir faithfully, there were 74 percent fewer infections.

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Shots - Health News
4:31 pm
Mon June 10, 2013

Triple Threat: Middle East Respiratory Virus And 2 Bird Flus

Men outside a hospital in Dammam, Saudi Arabia, wear surgical masks as a precaution against infection with a coronavirus.
Stringer Reuters /Landov

Originally published on Tue June 11, 2013 8:11 am

The World Health Organization is warning health care workers everywhere to suspect a disease called Middle Eastern Respiratory Syndrome, or MERS, whenever they see a case of unexplained pneumonia.

Monday's warning comes at the end of a six-day WHO investigation in Saudi Arabia, where 40 of the 55 cases of the respiratory disease have occurred. Sixty percent of those people with known infections died.

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