[{"data":1,"prerenderedAt":461},["ShallowReactive",2],{"slug-cyberthreats-to-hospitals-2021":3},{"post":4,"relatedPosts":207,"relatedBooks":349},{"id":5,"date":6,"date_gmt":7,"guid":8,"modified":10,"modified_gmt":11,"slug":12,"status":13,"type":14,"link":15,"title":16,"content":18,"excerpt":21,"author":23,"featured_media":24,"comment_status":25,"ping_status":25,"sticky":26,"template":27,"format":28,"meta":29,"categories":30,"tags":34,"project_category":54,"contact_email_category":60,"yst_prominent_words":61,"class_list":74,"better_featured_image":108,"acf":142,"yoast_meta":152,"_links":154},32095,"2023-06-20T10:00:00","2023-06-20T08:00:00",{"rendered":9},"https:\u002F\u002Fmedicalfuturist.com\u002F?post_id=32095&_wpnonce=36ee9e13a7&status=auto-draft&type=post","2023-06-20T08:52:09","2023-06-20T06:52:09","cyberthreats-to-hospitals-2021","publish","post","https:\u002F\u002Fmedicalfuturist.com\u002Fcyberthreats-to-hospitals-2021",{"rendered":17},"How Do They Hack Hospitals? – Cyberthreats In The Digital Health Era",{"rendered":19,"protected":20},"\n\u003Cp>While we were battling the COVID-19 virus in 2020, other infections were also happening, albeit in other, digital systems. We are, of course, talking about cyberattacks. These involve digital viruses infecting IT systems and disrupting potentially life-saving processes until after paying a ransom. No honour among thieves, goes the saying; not even during a pandemic. Indeed, as global technology company Acronis noted, there was \u003Ca rel=\"noreferrer noopener\" href=\"https:\u002F\u002Fwww.healthcareitnews.com\u002Fnews\u002Feurope\u002Fcyber-attacks-healthcare-facilities-growing-threat-during-coronavirus-pandemic\" target=\"_blank\">a rise in ransomware cases\u003C\u002Fa> at the start of the COVID-19 outbreak.\u003C\u002Fp>\n\n\n\n\u003Cp>From 2016 to 2021, the annual number of ransomware attacks on healthcare organizations more than doubled from 43 to 91, exposing the personal health information of nearly 42 million patients – a \u003Ca rel=\"noreferrer noopener\" href=\"https:\u002F\u002Fwww.ncbi.nlm.nih.gov\u002Fpmc\u002Farticles\u002FPMC9856685\u002F\" target=\"_blank\">cohort study of 374 ransomware attacks revealed\u003C\u002Fa>. Almost half of ransomware attacks disrupted the delivery of healthcare, the most common problems including electronic system downtime, cancellations of scheduled care, and ambulance diversion.\u003C\u002Fp>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">Fighting back by decrypting ransomware \u003C\u002Fh2>\n\n\n\n\u003Cp>If we visit the \u003Ca rel=\"noreferrer noopener\" href=\"https:\u002F\u002Fwww.hipaajournal.com\u002Fcategory\u002Fhealthcare-cybersecurity\u002F\" target=\"_blank\">HIPAA cybersecurity page\u003C\u002Fa> we are inundated with news reports about such cases. And while these seem to increasingly target large healthcare organizations, they can be \u003Ca rel=\"noreferrer noopener\" href=\"https:\u002F\u002Fwww.hipaajournal.com\u002Fransomware-attack-key-factor-in-decision-to-close-rural-illinois-hospital\u002F\" target=\"_blank\">devastating\u003C\u002Fa> for small clinics.\u003C\u002Fp>\n\n\n\n\u003Cp>However, there is an \u003Ca rel=\"noreferrer noopener\" href=\"https:\u002F\u002Fwww.healthcareitnews.com\u002Fnews\u002Fhow-one-ohio-hospital-decrypted-lockbit-ransomware\" target=\"_blank\">exciting new development\u003C\u002Fa> in fighting these attacks. An unnamed 240-bed Ohio hospital fell victim to cybercriminals who managed to breach its network and encrypt critical systems, including the Electronic Health Record (EHR) system, patient scheduling services, and domain controllers governing in-suite systems and medical devices. \u003C\u002Fp>\n\n\n\n\u003Cfigure class=\"wp-block-image size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"768\" height=\"432\" src=\"https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2023\u002F02\u002Ftmf_article_351-01-768x432.png\" alt=\"\" class=\"wp-image-48997\" srcset=\"https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2023\u002F02\u002Ftmf_article_351-01-768x432.png 768w, https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2023\u002F02\u002Ftmf_article_351-01-370x208.png 370w, https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2023\u002F02\u002Ftmf_article_351-01-1536x864.png 1536w, https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2023\u002F02\u002Ftmf_article_351-01.png 1800w\" sizes=\"auto, (max-width: 768px) 100vw, 768px\" \u002F>\u003C\u002Ffigure>\n\n\n\n\u003Cp>\u003Ca rel=\"noreferrer noopener\" href=\"https:\u002F\u002F5079343.fs1.hubspotusercontent-na1.net\u002Fhubfs\u002F5079343\u002FDownloadables\u002FNubeva%20Ransomware%20Reversal%20Healthcare%20Case%20Study.pdf\" target=\"_blank\">Cyberattacks like this\u003C\u002Fa> cause disturbances and emergency situations in hospitals on a regional level, where suddenly everyone faces increased wait times and overwhelmed emergency departments (ED). \u003C\u002Fp>\n\n\n\n\u003Cp>According to \u003Ca rel=\"noreferrer noopener\" href=\"https:\u002F\u002Fwww.nubeva.com\u002Fresources\u002Flockbit-ransomware-in-healthcare\" target=\"_blank\">this case study\u003C\u002Fa> from Nubeva, using their LockBit decrypting tool “the hospital successfully reversed the encryption and restored critical systems quickly. This led to minimized downtime and a swift return to normal operations. (…)  the intervention reduced data loss and eliminated the need for a costly ransom payment, resulting in significant financial savings for the hospital.” According to Nubeva, the hospital was able to reduce recovery time to 4 days from an average of 21 days.\u003C\u002Fp>\n\n\n\n\u003Cp>Discussion about cyberthreats is and will increasingly be crucial in the medical field so as to better address and prevent them. This issue is particularly concerning as the world is \u003Ca rel=\"noreferrer noopener\" href=\"https:\u002F\u002Fmedicalfuturist.com\u002Fasynchronous-telemedicine-is-coming-and-here-is-why-its-the-future-of-remote-care\u002F\" target=\"_blank\">increasingly turning to digital solutions\u003C\u002Fa> to address capacity shortages.\u003C\u002Fp>\n\n\n\n\u003Cp>However, these discussions should not revolve only around strengthening the IT infrastructure with anti-malware. This won’t cut it as, in addition to the technological component, there’s very much a social component in hacking into healthcare facilities. Let’s decrypt how this is the case, and consider additional measures that all of us can take to further secure our healthcare institutions and their precious data.\u003C\u002Fp>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">\u003Cstrong>The larger trend in ransomware in healthcare\u003C\u002Fstrong>\u003C\u002Fh2>\n\n\n\n\u003Cp>Ransomware “infections” happen not through pathogens but rather by hackers. The latter infect IT systems with malwares or digital viruses to encrypt crucial files. These paralyse whole infrastructures as that information is inaccessible until after paying the required demands, usually through cryptocurrency.\u003C\u002Fp>\n\n\n\n\u003Cp>Such cyberattacks on hospitals were commonplace well before the pandemic. One of the high-profile ones happened back in 2017 with the \u003Ca rel=\"noreferrer noopener\" href=\"https:\u002F\u002Fmedicalfuturist.com\u002Fthe-nhs-ransomware-attack-data-privacy-in-digital-health-part-one\u002F\" target=\"_blank\">WannaCry attacks\u003C\u002Fa> on 61 NHS institutions. It led to the cancellation of operations and clinical appointments, loss of internet connection in hospitals and diverted patients from emergency departments even one week after the incident. But the trend persisted in the following years.\u003C\u002Fp>\n\n\n\n\u003Cp>Some of these cyberthreats could have long-term consequences. One example is that of the \u003Ca rel=\"noreferrer noopener\" href=\"https:\u002F\u002Fwww.healthcareitnews.com\u002Fnews\u002Fransomware-attack-leaves-5-years-patient-records-inaccessible-co-hospital\" target=\"_blank\">ransomware attack\u003C\u002Fa> on Rangely District Hospital, a nonprofit critical access hospital. It left 5 years of patient records inaccessible.\u003C\u002Fp>\n\n\n\n\u003Cp>And it’s not just cases that have been on the rise but the demands as well. According to \u003Ca href=\"https:\u002F\u002Fwww.hipaajournal.com\u002Fhealthcare-cybersecurity\u002F\">these HIPAA\u003C\u002Fa>\u003Ca rel=\"noreferrer noopener\" href=\"https:\u002F\u002Fwww.hipaajournal.com\u002Fhealthcare-cybersecurity\u002F\" target=\"_blank\"> statistics\u003C\u002Fa>, in 2021, the average ransomware payment in the healthcare industry was $197,000, an increase of 33% from 2020. Similarly, antivirus firm Emsisoft \u003Ca rel=\"noreferrer noopener\" href=\"https:\u002F\u002Fwww.wired.com\u002Fstory\u002Fransomware-hospitals-ryuk-trickbot\u002F\" target=\"_blank\">found that\u003C\u002Fa> average ransomware demands increased from about $5,000 in 2018 to about $200,000; with demands for multimillion-dollar ransoms becoming more and more common.\u003C\u002Fp>\n\n\n\n\u003Cp>As these concerning trends amplify, management of healthcare institutions should better equip themselves to avert cybercrime. And for that, we have to understand that it does not only rely on the technological aspect but also on the social one.\u003C\u002Fp>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">\u003Cstrong>Social hacking as the access key\u003C\u002Fstrong>\u003C\u002Fh2>\n\n\n\n\u003Cp>Now, when thinking about a cyber attack, the image that might come to mind might be about tech-savvy hackers as depicted in \u003Cem>Mr. Robot \u003C\u002Fem>or \u003Cem>The Matrix\u003C\u002Fem>. However, this notion popularised in pop culture is not the whole part of the equation. In fact, there is very much a “social hacking” component in cyberattacks.\u003C\u002Fp>\n\n\n\n\u003Cp>HIPAA published \u003Ca rel=\"noreferrer noopener\" href=\"https:\u002F\u002Fwww.hipaajournal.com\u002Fhealthcare-cybersecurity\u002F\" target=\"_blank\">some shocking\u003C\u002Fa>\u003Ca href=\"https:\u002F\u002Fwww.hipaajournal.com\u002Fhealthcare-cybersecurity\u002F\" target=\"_blank\" rel=\"noreferrer noopener\"> \u003C\u002Fa>\u003Ca rel=\"noreferrer noopener\" href=\"https:\u002F\u002Fwww.hipaajournal.com\u002Fhealthcare-cybersecurity\u002F\" target=\"_blank\">statistics\u003C\u002Fa>: \u003C\u002Fp>\n\n\n\n\u003Cul class=\"wp-block-list\">\n\u003Cli>More than 90% of all cyberattacks against healthcare industries take the form of phishing scams\u003C\u002Fli>\n\n\n\n\u003Cli>In a study simulating phishing campaigns against healthcare organizations, nearly 1 in 7 of the fake phishing emails sent were clicked on by healthcare employees\u003C\u002Fli>\n\n\n\n\u003Cli>Only 16% of healthcare employees believe that they understand the risks posed by social engineering cybersecurity threats\u003C\u002Fli>\n\n\n\n\u003Cli>45% of healthcare cybersecurity professionals stated that a phishing attack was responsible for the most severe data breach experienced by their organization. And: \u003C\u002Fli>\n\n\n\n\u003Cli>71% of incidents involved general email phishing, 67% involved spear-phishing, 27% voice phishing (vishing), 27% whaling, 23% business email compromise, 21% SMS phishing, 20% phishing website, 16% social media phishing, 3% pharming and 2% deepfakes\u003C\u002Fli>\n\u003C\u002Ful>\n\n\n\n\u003Cp>Rather than exploiting technical vulnerabilities, social hacking or social engineering involves exploiting those vulnerabilities in human psychology to circumvent security technology. Famous hacker \u003Ca rel=\"noreferrer noopener\" href=\"https:\u002F\u002Fwww.csoonline.com\u002Farticle\u002F2113271\u002Fkevin-mitnick-and-anti-social-engineering.html\" target=\"_blank\">Kevin Mitnick terms\u003C\u002Fa> humans as “\u003Cem>the weakest link in any security system\u003C\u002Fem>.” Mitnick popularised the term ‘social engineering’ in the ’90s, and his scams exemplify how breaching into tech systems is possible with this method. \u003C\u002Fp>\n\n\n\n\u003Cp>One example is when he \u003Ca rel=\"noreferrer noopener\" href=\"https:\u002F\u002Fwww.csoonline.com\u002Farticle\u002F2124681\u002Fwhat-is-social-engineering.html\" target=\"_blank\">accessed the OS development servers\u003C\u002Fa> of Digital Equipment Corporation in 1979. He did so by posing as one of the lead developers over a phone call. Claiming that he couldn’t log in, he was immediately given new credentials to do just that.\u003C\u002Fp>\n\n\n\u003Cdiv class=\"wp-block-image\">\n\u003Cfigure class=\"aligncenter size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"768\" height=\"432\" src=\"https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2018\u002F09\u002F037_dictatorships-768x432.png\" alt=\"autocracies and digital health\" class=\"wp-image-21892\" srcset=\"https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2018\u002F09\u002F037_dictatorships-768x432.png 768w, https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2018\u002F09\u002F037_dictatorships-370x208.png 370w, https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2018\u002F09\u002F037_dictatorships-512x288.png 512w, https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2018\u002F09\u002F037_dictatorships.png 870w\" sizes=\"auto, (max-width: 768px) 100vw, 768px\" \u002F>\u003C\u002Ffigure>\n\u003C\u002Fdiv>\n\n\n\u003Cp>Not much has changed since then as a similar method was used to control a U.S. Department of Justice (DoJ) email address in 2016. A hacker, postulating as a new employee, gently persuaded a help desk colleague to provide an access token for the DoJ intranet.\u003C\u002Fp>\n\n\n\n\u003Cp>As such, when considering methods to curb cyberthreats, it’s also paramount to educate personnel about ways they can be duped. In the next section, we’ll take a look at the measures that can be taken in this regard.\u003C\u002Fp>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">\u003Cstrong>Adequate protection lies in humans, not just in technology\u003C\u002Fstrong>\u003C\u002Fh2>\n\n\n\n\u003Cp>Sure, securing computerised systems in healthcare organisations will require investing in proper technological tools. We previously \u003Ca rel=\"noreferrer noopener\" href=\"https:\u002F\u002Fmedicalfuturist.com\u002Fthe-nhs-ransomware-attack-part-ii\u002F\" target=\"_blank\">talked to Istvan Lam\u003C\u002Fa>, Founder and CEO of  Hungarian data privacy company Tresorit, who emphasised this. “\u003Cem>Two things are key in prevention\u003C\u002Fem>,” Lam explained. “\u003Cem>First, healthcare institutions and organisations should use anti-virus software with anti-ransomware protection to protect themselves. Second, it is crucial for everyone to update operating systems and software applications.\u003C\u002Fem>” \u003C\u002Fp>\n\n\n\n\u003Cp>Hundreds of billions \u003Ca rel=\"noreferrer noopener\" href=\"https:\u002F\u002Fwww.idc.com\u002Fgetdoc.jsp?containerId=prUS50498423#:~:text=NEEDHAM%2C%20Mass.%2C%20March%2016,International%20Data%20Corporation%20(IDC).\" target=\"_blank\">are already spent annually\u003C\u002Fa> on cybersecurity globally on such tools. But spending a fraction of these on educating employees about social hacking should also be imperative. Indeed, even CEOs aren’t impervious to such cyberthreats as security company Rapid7 showed. In \u003Ca rel=\"noreferrer noopener\" href=\"https:\u002F\u002Fblog.rapid7.com\u002F2019\u002F01\u002F07\u002Fwhat-you-can-learn-from-our-successful-simulated-phishing-attack-of-45-ceos\u002F\" target=\"_blank\">a simulated phishing attack\u003C\u002Fa> by the company, 45 CEOs, or 75% of the total group in attendance, fell for at least one phishing campaign. \u003C\u002Fp>\n\n\n\n\u003Cp>\u003Cstrong>Thankfully, there are some ways to counter social hacking and here are a few examples:\u003C\u002Fstrong>\u003C\u002Fp>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">\u003Cstrong>1. Increase exposure to cyberthreats\u003C\u002Fstrong>\u003C\u002Fh3>\n\n\n\n\u003Cp>One way to increase awareness of cybersecurity is to increase exposure to those threats via frequent simulations. During its cybersecurity events, Rapid7 noticed that people exposed to suspicious activity had a strong instinct to report subsequent ones they came across.\u003C\u002Fp>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">\u003Cstrong>2. Familiarise staff with each other\u003C\u002Fstrong>\u003C\u002Fh3>\n\n\n\n\u003Cp>Other experts recommend including everyone from top management to new recruits in training and awareness sessions about cyberthreats. That’s because it’s often newcomers to an organisation that get tricked into thinking they are conversing with an executive about an urgent issue that requires bypassing normal protocols.\u003C\u002Fp>\n\n\n\n\u003Cfigure class=\"wp-block-image size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"768\" height=\"432\" src=\"https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2023\u002F01\u002Ftmf_article_346-01-768x432.png\" alt=\"emotion AI, ambient intelligence tmf algorithm\" class=\"wp-image-48645\" srcset=\"https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2023\u002F01\u002Ftmf_article_346-01-768x432.png 768w, https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2023\u002F01\u002Ftmf_article_346-01-370x208.png 370w, https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2023\u002F01\u002Ftmf_article_346-01.png 1280w\" sizes=\"auto, (max-width: 768px) 100vw, 768px\" \u002F>\u003C\u002Ffigure>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">\u003Cstrong>3. Raise red flags about suspicious activity\u003C\u002Fstrong>\u003C\u002Fh3>\n\n\n\n\u003Cp>Another easy method to counter cyberattackers hacking into the social component is to train employees to \u003Ca rel=\"noreferrer noopener\" href=\"https:\u002F\u002Fwww.csoonline.com\u002Farticle\u002F2124681\u002Fwhat-is-social-engineering.html\" target=\"_blank\">identify and report red flags\u003C\u002Fa>. Some methods used by attackers such as an email from a CEO’s personal email address should immediately be flagged.\u003C\u002Fp>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">\u003Cstrong>Cautious cybersecurity measures\u003C\u002Fstrong>\u003C\u002Fh2>\n\n\n\n\u003Cp>Cybersecurity firms will of course tell you the worst horror stories in the industry to sell their products. One of the most tragic ones was a reported case of a \u003Ca rel=\"noreferrer noopener\" href=\"https:\u002F\u002Fwww.theverge.com\u002F2020\u002F9\u002F17\u002F21443851\u002Fdeath-ransomware-attack-hospital-germany-cybersecurity\" target=\"_blank\">ransomware attack in September 2020\u003C\u002Fa> on the Duesseldorf University Hospital in Germany. Due to the attack, a woman was redirected to another healthcare facility around 20 miles away. But the ensuing delay in life-saving treatment led to her demise. \u003C\u002Fp>\n\n\n\n\u003Cp>This was widely reported as the first reported death caused directly by a cyberattack. The story could serve as an incentive to invest heavily in pricey cybersecurity tools.\u003C\u002Fp>\n\n\n\n\u003Cp>However, a few months later, \u003Ca rel=\"noreferrer noopener\" href=\"https:\u002F\u002Fwww.technologyreview.com\u002F2020\u002F11\u002F12\u002F1012015\u002Fransomware-did-not-kill-a-german-hospital-patient\u002F\" target=\"_blank\">an investigation found\u003C\u002Fa> that she had died due to her poor health, which had been “\u003Cem>entirely independent from the cyberattack.\u003C\u002Fem>” As such, we have to take these threats and attacks with a pinch of salt.\u003C\u002Fp>\n\n\n\n\u003Cp>Nevertheless, German law enforcement and many cybersecurity experts believe that it’s only a matter of time before a cyberattack causes such an actual demise of a patient. “\u003Cem>There is a moral line that every person, just as a human being, recognises exists—when you do something knowing that you are potentially impacting somebody’s life you’ve crossed the line,\u003C\u002Fem>” Mandiant’s \u003Ca rel=\"noreferrer noopener\" href=\"https:\u002F\u002Fwww.wired.com\u002Fstory\u002Fransomware-hospitals-ryuk-trickbot\u002F\" target=\"_blank\">Charles Carmakal said\u003C\u002Fa>. “\u003Cem>So there’s a very clear crossing of the line by this threat actor. This group is incredibly brazen, heartless, relentless\u003C\u002Fem>.”\u003C\u002Fp>\n\n\n\n\u003Cp>As such, cyberthreats in healthcare cannot be overlooked. And to protect our medical facilities and patients, both the social and technological components of this issue must be adequately reinforced. The average patient should demand more security over their data, and the medical staff and management should take these demands seriously and familiarise themselves with cybercrime methods in order to better counter them.\u003C\u002Fp>\n\n\n\n\u003Ctable style=\"width: 100%; border-collapse: collapse; background-color: #eee; border-top: 4px solid #444;\" cellpadding=\"10px\">\n\u003Ctbody>\n\u003Ctr>\n\u003Ctd style=\"width: 100%;\">\n\u003Cp>\u003Cstrong>At The Medical Futurist, we are building a community for making a bold vision about the future of healthcare reality today.\u003C\u002Fstrong>\u003C\u002Fp>\n\u003Cp>Dr. Bertalan Mesko, PhD, the Director of The Medical Futurist Institute, launched The Medical Futurist to help individuals, companies, and governments understand how digital health technologies bring healthcare into the 21st century.\u003C\u002Fp>\n\u003Cp style=\"padding-left: 40px;\">\u003Cem>“Digital health technologies empower patients to become proactive in their life; empower medical professionals to do their job being supported by advanced technologies, and companies and policymakers to make better decisions about their future.” – Dr. Bertalan Meskó\u003C\u002Fem>\u003C\u002Fp>\n\u003Cp>To support this transformation, Dr. Meskó and The Medical Futurist team is working relentlessly analyzing the latest trends in digital health and bringing insights to the 800,000+ readers and followers of our publications, along these principles:\u003C\u002Fp>\n\u003Cul>\n\u003Cli>\u003Cspan style=\"background-color: #e71d3299;\">\u003Cstrong>The Medical Futurist is a place to learn, not a place for advertising\u003C\u002Fstrong>\u003C\u002Fspan>. The Medical Futurist team is working to bring you unlimited access to reliable, neutral information, that is free from the influence of vendors and companies.\u003C\u002Fli>\n\u003Cli>\u003Cspan style=\"background-color: #e71d3299;\">\u003Cstrong>Unlike many others, we keep 99% of The Medical Futurist content open for all readers\u003C\u002Fstrong>\u003C\u002Fspan>, regardless of where they live or what they can afford to pay. We do this because we believe in information equality, where everyone deserves to read accurate news and thoughtful analysis.\u003C\u002Fli>\n\u003C\u002Ful>\n\u003Cp>For 2021, we commit to another year of high-impact reporting that helps people navigate the jungle of digital health and to see where it is heading. With no shareholders or billionaire owners, we set our own agenda and provide unbiased insights that are free from commercial and political influence.\u003C\u002Fp>\n\u003Cp>If you’d like to support this mission, we invite you to \u003Ca href=\"https:\u002F\u002Fwww.patreon.com\u002Fthemedicalfuturist\">join The Medical Futurist Patreon Community\u003C\u002Fa>. A community of empowered patients, future-oriented healthcare professionals, concerned health policymakers, sensible health tech developers, and enthusiastic medical students. If there were ever a time to join us, it is now. Every contribution, however big or small, powers our research and sustains our future.\u003C\u002Fp>\n\u003Cp>\u003Ca href=\"https:\u002F\u002Fwww.patreon.com\u002Fthemedicalfuturist\">\u003Cstrong style=\"background-color: #e71d3299; color: #000;\">Click here to support The Medical Futurist from as little as $3\u003C\u002Fstrong>\u003C\u002Fa> – it only takes a minute. Thank you.\u003C\u002Fp>\n\u003C\u002Ftd>\n\u003C\u002Ftr>\n\u003C\u002Ftbody>\n\u003C\u002Ftable>\n\u003Cp> \u003C\u002Fp>\n",false,{"rendered":22,"protected":20},"\u003Cp>While we were battling the COVID-19 virus in 2020, other infections were also happening, albeit in other, digital systems. We are, of course, talking about […]\u003C\u002Fp>\n",16,32181,"closed",true,"","standard",{"_acf_changed":20,"footnotes":27},[31,32,33],6479,800,799,[35,36,37,38,39,40,41,42,43,44,45,46,47,48,49,50,51,52,53],279,6487,688,6489,689,6491,690,6493,691,6495,692,6503,5129,693,6505,6041,703,6209,6255,[55,56,57,58,59],947,948,950,952,953,[],[62,63,64,65,66,67,68,69,70,71,72,73],2293,2405,2407,3367,3471,1571,3825,1617,1681,1683,1723,1883,[75,14,76,77,78,79,80,81,82,83,84,85,86,87,88,89,90,91,92,93,94,95,96,97,98,99,100,101,102,103,104,105,106,107],"post-32095","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-covid-19","category-healthcare-policy","category-security-privacy","tag-hospital","tag-cyberattack","tag-data-security","tag-acronis","tag-cybercrime","tag-mandiant","tag-cybersecurity","tag-social-hacking","tag-wannacry","tag-kevin-mitnick","tag-ransomware","tag-rapid7","tag-hipaa","tag-it","tag-social-engineering","tag-covid-19","tag-data-breach","tag-virus","tag-nhs","project_category-company","project_category-developers","project_category-medical-professionals","project_category-policy-makers","project_category-researchers",{"id":24,"alt_text":109,"caption":110,"description":111,"media_type":112,"media_details":113,"post":5,"source_url":141},"Cyberthreats to hospitals","Hospitals under (cyber)threat","To protect our medical facilities and patients, hospitals must reinforce their technological and social 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protect our medical facilities and patients from cyberattacks, hospitals must reinforce their technological and social knowledge.",{"self":155,"collection":161,"about":164,"author":167,"replies":170,"version-history":173,"predecessor-version":177,"wp:featuredmedia":181,"wp:attachment":184,"wp:term":187,"curies":203},[156],{"href":157,"targetHints":158},"https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Fposts\u002F32095",{"allow":159},[160],"GET",[162],{"href":163},"https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Fposts",[165],{"href":166},"https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Ftypes\u002Fpost",[168],{"embeddable":26,"href":169},"https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Fusers\u002F16",[171],{"embeddable":26,"href":172},"https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Fcomments?post=32095",[174],{"count":175,"href":176},36,"https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Fposts\u002F32095\u002Frevisions",[178],{"id":179,"href":180},51407,"https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Fposts\u002F32095\u002Frevisions\u002F51407",[182],{"embeddable":26,"href":183},"https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Fmedia\u002F32181",[185],{"href":186},"https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Fmedia?parent=32095",[188,191,194,197,200],{"taxonomy":189,"embeddable":26,"href":190},"category","https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Fcategories?post=32095",{"taxonomy":192,"embeddable":26,"href":193},"post_tag","https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Ftags?post=32095",{"taxonomy":195,"embeddable":26,"href":196},"project_category","https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Fproject_category?post=32095",{"taxonomy":198,"embeddable":26,"href":199},"contact_email_category","https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Fcontact_email_category?post=32095",{"taxonomy":201,"embeddable":26,"href":202},"yst_prominent_words","https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Fyst_prominent_words?post=32095",[204],{"name":205,"href":206,"templated":26},"wp","https:\u002F\u002Fapi.w.org\u002F{rel}",[208],{"id":151,"date":209,"date_gmt":210,"guid":211,"modified":213,"modified_gmt":214,"slug":215,"status":13,"type":14,"link":216,"title":217,"content":219,"excerpt":221,"author":223,"featured_media":224,"comment_status":25,"ping_status":25,"sticky":20,"template":27,"format":28,"meta":225,"categories":226,"tags":229,"project_category":243,"contact_email_category":244,"yst_prominent_words":245,"class_list":252,"better_featured_image":269,"acf":303,"yoast_meta":304,"_links":306},"2017-06-13T18:00:45","2017-06-13T16:00:45",{"rendered":212},"http:\u002F\u002Fmedicalfuturist.com\u002F?p=15795","2022-05-18T18:42:33","2022-05-18T16:42:33","the-nhs-ransomware-attack-part-ii","https:\u002F\u002Fmedicalfuturist.com\u002Fthe-nhs-ransomware-attack-part-ii",{"rendered":218},"The NHS Ransomware Attack, Data Privacy & Security in the Era of Digital Health – Part II.",{"rendered":220,"protected":20},"\n\u003Ctable style=\"width: 100%; border-collapse: collapse; background-color: #eee; border-top: 4px solid #444;\" cellpadding=\"5px\">\n\u003Ctbody>\n\u003Ctr>\n\u003Ctd style=\"width: 100%;\">\n\u003Cp style=\"color: #555;font-size: 12px;line-height: 14px\">THIS ARTICLE HAS NOT BEEN UPDATED SINCE 2017. THE INFORMATION SHARED IN THE ARTICLE WAS ACCURATE AT THE TIME OF ITS PUBLICATION, BUT IT MAY BE OUT OF DATE NOW. \u003Ca href=\"https:\u002F\u002Fmedicalfuturist.com\u002Fmagazine\">BROWSE OUR LATEST ARTICLES HERE\u003C\u002Fa>\u003C\u002Fp>\n\u003C\u002Ftd>\n\u003C\u002Ftr>\n\u003C\u002Ftbody>\n\u003C\u002Ftable>\n\n\n\n\u003Cp>The recent WannaCry ransomware attack impaired the smooth operation of several NHS hospitals in the UK. The connectivity of corporate networks with file-sharing systems and printers let the virus travel around quicker than the flue. While in the first part of our article series, I looked at the IT vulnerabilities of healthcare in general; here, I show the dangers that could be associated with the internet of health things.\u003C\u002Fp>\n\n\n\n\u003C!--more-->\n\n\n\n\u003Ch2 class=\"wp-block-heading\">\u003Cstrong>The Internet of Health Things (IoHT)\u003C\u002Fstrong>\u003C\u002Fh2>\n\n\n\n\u003Cp>According to a \u003Ca href=\"https:\u002F\u002Fwww.accenture.com\u002Ft20170215T191150__w__\u002Fus-en\u002F_acnmedia\u002FPDF-42\u002FAccenture-Health-2017-Internet-of-Health-Things-Survey.pdf\">survey created by Accenture Consulting\u003C\u002Fa>, the Internet of Health Things (IoHT) is the integration of the physical and digital worlds through objects with network connectivity in the healthcare industry. IoHT transforms raw data into simple, actionable information and communicates with other objects, machines or people. If you believe you have never encountered such IoHT, just think of your Fitbit or wireless blood pressure monitor, and there you are.\u003C\u002Fp>\n\n\n\n\u003Cp>Moreover, the number of health sensors, trackers, and wearables on the market is multiplying. Around a \u003Ca href=\"http:\u002F\u002Fwww.wareable.com\u002Fwearable-tech\u002F245-million-wearable-devices-sold-2019-1606\">hundred million\u003C\u002Fa> wearable units to measure health parameters were sold in 2015. It is predicted that 245 million wearable devices will be marketed in 2019. But it’s not only wearables. The \u003Ca href=\"https:\u002F\u002Fwww.accenture.com\u002Ft20170215T191150__w__\u002Fus-en\u002F_acnmedia\u002FPDF-42\u002FAccenture-Health-2017-Internet-of-Health-Things-Survey.pdf\">Accenture 2017 Internet of Health Survey\u003C\u002Fa> emphasized that almost three-quarter of healthcare executives say IoHT will be disruptive within the next three years; first of all in three areas: remote patient monitoring, wellness\u002Fprevention – where the health sensors and wearables come into play – and healthcare operations, such as managing inventories of medical supplies. In sum, Accenture expects it to reach a $163 billion market in 2020! That’s a number you cannot ignore.\u003C\u002Fp>\n\n\n\n\u003Cfigure class=\"wp-block-image\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"870\" height=\"652\" src=\"https:\u002F\u002F1712507217.rsc.cdn77.org\u002Fwp-content\u002Fuploads\u002F2017\u002F06\u002Finternet-of-health-things.jpg\" alt=\"Internet of Health Things - Data Privacy\" class=\"wp-image-15800\" srcset=\"https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2017\u002F06\u002Finternet-of-health-things.jpg 870w, https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2017\u002F06\u002Finternet-of-health-things-768x576.jpg 768w, https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2017\u002F06\u002Finternet-of-health-things-512x384.jpg 512w, https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2017\u002F06\u002Finternet-of-health-things-334x250.jpg 334w\" sizes=\"auto, (max-width: 870px) 100vw, 870px\" \u002F>\u003C\u002Ffigure>\n\n\n\n\u003Cp>\u003C\u002Fp>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">\u003Cstrong>The possibility of hacking medical devices should alarm healthcare providers\u003C\u002Fstrong>\u003C\u002Fh2>\n\n\n\n\u003Cp>As the internet of health things is expanding, the points of vulnerabilities keep multiplying through a swarm of endpoints, networks, and channels. Some analysts say medical devices, in particular, have been identified as highly vulnerable and hacked medical devices may now be the single biggest threat to healthcare IT. Serious \u003Ca href=\"https:\u002F\u002Fwww.wired.com\u002F2015\u002F11\u002Fmedical-devices-that-are-vulnerable-to-life-threatening-hacks\u002F#slide-1\">security threats are prevalent\u003C\u002Fa> in the case of X-ray systems, blood refrigeration units, CT scanning equipment, implantable cardioverter defibrillators (ICD) or implantable neurological devices.\u003C\u002Fp>\n\n\n\n\u003Cp>In 2011, \u003Ca href=\"http:\u002F\u002Fwww.theregister.co.uk\u002F2011\u002F10\u002F27\u002Ffatal_insulin_pump_attack\u002F\">a researcher from the McAfee tech company demonstrated\u003C\u002Fa> at a conference in Miami how insulin pumps might be hacked to deliver fatal doses to diabetes patients. Software and a special antenna designed by him allowed for locating and seizing control of any device within 300 feet.\u003C\u002Fp>\n\n\n\n\u003Cp>In an \u003Ca href=\"http:\u002F\u002Finternetofthingsagenda.techtarget.com\u002Ffeature\u002FHealthcare-IoT-security-issues-Risks-and-what-to-do-about-them\">interview with the TechTarget Network\u003C\u002Fa>, Scott Erven, associate director at Protiviti, a California-based consulting firm told the single most threatening story for me so far. There were two individuals in Austria in a hospital that were hooked up to an infusion pump and felt their pain management wasn’t under control; so they went online, found service documentation, got the hard-coded service credentials to their infusion pumps, logged in and upped their doses. Their activity poorly backfired as the overdoses caused respiratory problems, but the single fact that these patients were able to figure out how to log into the devices is alarming enough.\u003C\u002Fp>\n\n\n\n\u003Cfigure class=\"wp-block-image\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"870\" height=\"579\" src=\"https:\u002F\u002F1712507217.rsc.cdn77.org\u002Fwp-content\u002Fuploads\u002F2017\u002F06\u002Finsulin-pumps_data-privacy.jpg\" alt=\"Insulin pumps_data privacy\" class=\"wp-image-15802\" srcset=\"https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2017\u002F06\u002Finsulin-pumps_data-privacy.jpg 870w, https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2017\u002F06\u002Finsulin-pumps_data-privacy-768x511.jpg 768w, https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2017\u002F06\u002Finsulin-pumps_data-privacy-512x341.jpg 512w, https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2017\u002F06\u002Finsulin-pumps_data-privacy-375x250.jpg 375w\" sizes=\"auto, (max-width: 870px) 100vw, 870px\" \u002F>\u003C\u002Ffigure>\n\n\n\n\u003Cp>\u003C\u002Fp>\n\n\n\n\u003Cp>It signals that it is not difficult to clear up how an infusion pump works and the device is not appropriately protected. Both are scary, to say the least. But this is only the tip of the iceberg.\u003C\u002Fp>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">\u003Cstrong>The labyrinth of connections, networks, passwords\u003C\u002Fstrong>\u003C\u002Fh2>\n\n\n\n\u003Cp>While more and more sophisticated, wireless and digital devices reach healthcare, the health IT is not keeping up with the developments. \u003Ca href=\"http:\u002F\u002Fwww.forbes.com\u002Fsites\u002Fericbasu\u002F2013\u002F08\u002F03\u002Fhacking-insulin-pumps-and-other-medical-devices-reality-not-fiction\u002F#1152f29d4327\">According to Forbes\u003C\u002Fa>, the problem is that medical professionals are either not aware of security risks or (naturally) do not have IT skills to ask the “sensitive” questions. Moreover, IT security is not supported adequately in the case of hospitals and other medical facilities; as such teams are both understaffed and underfinanced. I seriously hope that the recent NHS ransomware attack will open the eyes of healthcare providers in many countries and massive investments in cybersecurity will follow. I cannot emphasize it enough how badly we all need that.\u003C\u002Fp>\n\n\n\n\u003Cp>If the vulnerable nature of single medical devices was not enough, imagine how many points of vulnerabilities are created through the army of new endpoints, networks, passwords, synchronization of data and more. One problem is devices entering hospitals through a variety of channels, with some of these avenues being unknown, said \u003Ca href=\"https:\u002F\u002Fwww.boardroominsiders.com\u002Fexecutive-profiles\u002F1002344\u002FIntermountain-Healthcare\u002FKarl-J.-West\">Karl West\u003C\u002Fa>, chief information security officer at Intermountain Healthcare located in Salt Lake City to \u003Ca href=\"http:\u002F\u002Finternetofthingsagenda.techtarget.com\u002Ffeature\u002FHealthcare-IoT-security-issues-Risks-and-what-to-do-about-them\">TechTarget\u003C\u002Fa>. He mentioned that more often than not, devices do not go through “common controls”, meaning to have passwords, encryption, the latest hardware or software updates. Moreover, there are different connectivity issues, while some data automatically migrates to some devices, while others not. It sounds like a total chaos, which might be the best playground for hackers.\u003C\u002Fp>\n\n\n\n\u003Cfigure class=\"wp-block-image\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"870\" height=\"480\" src=\"https:\u002F\u002F1712507217.rsc.cdn77.org\u002Fwp-content\u002Fuploads\u002F2017\u002F06\u002Fconnectivity_data-privacy.jpg\" alt=\"Connectivity_data privacy\" class=\"wp-image-15803\" srcset=\"https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2017\u002F06\u002Fconnectivity_data-privacy.jpg 870w, https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2017\u002F06\u002Fconnectivity_data-privacy-768x424.jpg 768w, https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2017\u002F06\u002Fconnectivity_data-privacy-512x282.jpg 512w, https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2017\u002F06\u002Fconnectivity_data-privacy-453x250.jpg 453w\" sizes=\"auto, (max-width: 870px) 100vw, 870px\" \u002F>\u003C\u002Ffigure>\n\n\n\n\u003Cp>\u003C\u002Fp>\n\n\n\n\u003Ch2 class=\"wp-block-heading\">\u003Cstrong>How to prevent data breaches and medical devices being hacked?\u003C\u002Fstrong>\u003C\u002Fh2>\n\n\n\n\u003Cp>An American Action Forum \u003Ca href=\"http:\u002F\u002Fwww.beckershospitalreview.com\u002Fhealthcare-information-technology\u002Femr-hacks-have-compromised-94-million-health-records-this-year.html\">report\u003C\u002Fa> indicates \u003Ca href=\"http:\u002F\u002Fwww.beckershospitalreview.com\u002Fhealthcare-information-technology\u002F19-latest-healthcare-data-breaches.html\">hacks concerning the electrical medical records (EMR)\u003C\u002Fa> have more than doubled since 2014, with more than 94 million EMRs being compromised. These breaches have cost the American healthcare system an estimated $50 billion. And the non-financial consequences might be even more serious. I believe if we do not pay more attention to the IT security aspects of interconnected and data-driven medical devices, we might easily find ourselves in situations such as the one in the US television series \u003Cem>Homeland\u003C\u002Fem> where the US Vice President was killed through manipulation of his pacemaker.\u003C\u002Fp>\n\n\n\n\u003Cp>So what steps should stakeholders in healthcare – \u003Cstrong>patients, medical professionals, healthcare providers, medical device manufacturers, and regulators\u003C\u002Fstrong> – do in order to prepare and potentially prevent the next hacking attempt?\u003C\u002Fp>\n\n\n\n\u003Cfigure class=\"wp-block-image\">\u003Cimg decoding=\"async\" src=\"https:\u002F\u002F1712507217.rsc.cdn77.org\u002Fwp-content\u002Fuploads\u002F2017\u002F06\u002Fagainst-hackers-in-healthcare_data-privacy.jpg\" alt=\"Against Hackers in Healthcare_Data Privacy\" class=\"wp-image-15804\"\u002F>\u003C\u002Ffigure>\n\n\n\n\u003Cp>\u003C\u002Fp>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">\u003Cstrong>1) Patients and medical professionals\u003C\u002Fstrong>\u003C\u002Fh3>\n\n\n\n\u003Cp>I believe that data privacy and IT security should start with our very own devices. See, if you are not paying attention to your own data security as a private person, you will most probably not care about it as a patient or as a medical professional at your workplace either. It is simple: if you want some change, start it with yourself!\u003C\u002Fp>\n\n\n\n\u003Cp>Do you share cute cat videos on Instagram without hesitation? Or do you check in on Facebook countless times a day? Perhaps you like to fill out quizzes and reach new levels in Candy Crush? Most of us are careless when using social media channels and downloading smartphone apps that ask for permission. If you want to \u003Cstrong>manage your permissions\u003C\u002Fstrong> consciously, go to \u003Ca href=\"http:\u002F\u002Fwww.mypermissions.com\u002F\">mypermissions.com\u003C\u002Fa>. It shows what apps you have given access to your private information through Facebook, Linkedin, Google and more. It goes without saying that you should never post personal information like your address, phone or credit card number on a social network in any form.\u003C\u002Fp>\n\n\n\n\u003Cp>Also, only if you lived under a rock in the past decade, have you not heard about the importance of \u003Cstrong>safe passwords\u003C\u002Fstrong>. Istvan Lam, Founder and CEO of Tresorit, Hungarian data privacy company recommends to make sure you never reuse the same password for multiple services; and always use strong passwords. You can easily do this with a trusted password manager, such as LastPass, 1Password, and KeePass, that generate random passwords and help you keep track of them.\u003C\u002Fp>\n\n\n\n\u003Cfigure class=\"wp-block-image\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"870\" height=\"522\" src=\"https:\u002F\u002F1712507217.rsc.cdn77.org\u002Fwp-content\u002Fuploads\u002F2017\u002F06\u002Fstrong-passwords_data-privacy.png\" alt=\"Strong Passwords_Data Privacy\" class=\"wp-image-15805\" srcset=\"https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2017\u002F06\u002Fstrong-passwords_data-privacy.png 870w, https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2017\u002F06\u002Fstrong-passwords_data-privacy-768x461.png 768w, https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2017\u002F06\u002Fstrong-passwords_data-privacy-512x307.png 512w, https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2017\u002F06\u002Fstrong-passwords_data-privacy-417x250.png 417w\" sizes=\"auto, (max-width: 870px) 100vw, 870px\" \u002F>\u003C\u002Ffigure>\n\n\n\n\u003Cp>\u003C\u002Fp>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">\u003Cstrong>2) Healthcare providers\u003C\u002Fstrong>\u003C\u002Fh3>\n\n\n\n\u003Cp>It goes without saying that IT departments and cyber security teams in hospitals and other medical facilities should have \u003Cstrong>the appropriate budget and professional expertise\u003C\u002Fstrong> in order to effectively control all networks and devices under their auspices. As I mentioned \u003Ca href=\"https:\u002F\u002Fmedicalfuturist.com\u002Fthe-nhs-ransomware-attack-data-privacy-in-digital-health-part-one\u002F\">in the first part of the article series\u003C\u002Fa>, as human error can occur at any organization and data loss is always a possibility, it is important that healthcare organizations \u003Cstrong>prepare, test, and perform backup and recovery operations\u003C\u002Fstrong>.\u003C\u002Fp>\n\n\n\n\u003Cp>But it is equally important to \u003Cstrong>update passwords\u003C\u002Fstrong>. Myles Bray, EMEA VP at ForeScout Technologies Inc. commented to Security Newsdesk that MRI machines, operating room equipment, security cameras, patient monitors and wireless printers often come with a default password, and unless they are regularly updated with the latest security software, offer a vulnerable back door into an organization’s wider systems. In order to protect against this threat, it is necessary to understand and control these devices across the whole network. However, as many devices lack this level of security, healthcare providers have to take care of such issues themselves.\u003C\u002Fp>\n\n\n\n\u003Cfigure class=\"wp-block-image\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"870\" height=\"653\" src=\"https:\u002F\u002F1712507217.rsc.cdn77.org\u002Fwp-content\u002Fuploads\u002F2017\u002F06\u002Fmedical-devices-security_data-privacy.jpg\" alt=\"Medical Devices Security_Data Privacy\" class=\"wp-image-15806\" srcset=\"https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2017\u002F06\u002Fmedical-devices-security_data-privacy.jpg 870w, https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2017\u002F06\u002Fmedical-devices-security_data-privacy-768x576.jpg 768w, https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2017\u002F06\u002Fmedical-devices-security_data-privacy-512x384.jpg 512w, https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2017\u002F06\u002Fmedical-devices-security_data-privacy-333x250.jpg 333w\" sizes=\"auto, (max-width: 870px) 100vw, 870px\" \u002F>\u003C\u002Ffigure>\n\n\n\n\u003Cp>\u003C\u002Fp>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">\u003Cstrong>3) Medical device manufacturers and health tech companies\u003C\u002Fstrong>\u003C\u002Fh3>\n\n\n\n\u003Cp>The CEO of Tresorit told me that \u003Cem>even though there are improvements, developers, in general, do not pay enough attention to security.\u003C\u002Fem> He believes that one of the reasons for it is that most of the time, IT security is the responsibility of separate people or teams within a technology company. \u003Cem>Those developers who are not dedicated security engineers usually lack the skills needed to write secure code – while to create secure systems, all modules should be properly secure.\u003C\u002Fem> \u003Cem>It is important to raise awareness on IT security in all teams that are responsible for product development\u003C\u002Fem>, he explained.\u003C\u002Fp>\n\n\n\n\u003Cp>I agree with Lam in saying how important it is for manufacturers to \u003Cstrong>pay more attention to IT security\u003C\u002Fstrong>. They should prepare better for data breaches, map out possible vulnerabilities and in general design their products and services in line with the “privacy by design” principle. The CEO of Tresorit recommends \u003Cstrong>end-to-end encryption\u003C\u002Fstrong> as well. The technology, \u003Cem>which already protects messages and emails from mass data breaches of hackers and snooping governments, can similarly secure medical records in health databases or digital health apps such as diabetes or fertility trackers\u003C\u002Fem>, Lam said. He added that they recently launched \u003Ca href=\"http:\u002F\u002Fwww.tresorit.com\u002Fzerokit\">ZeroKit\u003C\u002Fa> to help all developers including health app developers add secure user authentication and encryption to their tools.\u003C\u002Fp>\n\n\n\n\u003Cfigure class=\"wp-block-image\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"870\" height=\"580\" src=\"https:\u002F\u002F1712507217.rsc.cdn77.org\u002Fwp-content\u002Fuploads\u002F2017\u002F06\u002Fhealthcare.jpg\" alt=\"healthcare - data privacy\" class=\"wp-image-15807\" srcset=\"https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2017\u002F06\u002Fhealthcare.jpg 870w, https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2017\u002F06\u002Fhealthcare-768x512.jpg 768w\" sizes=\"auto, (max-width: 870px) 100vw, 870px\" \u002F>\u003C\u002Ffigure>\n\n\n\n\u003Cp>\u003C\u002Fp>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">\u003Cstrong>4) Health regulators and governments\u003C\u002Fstrong>\u003C\u002Fh3>\n\n\n\n\u003Cp>In general, the \u003Cstrong>strategic management of health IT structures\u003C\u002Fstrong> has to be taken to a more elevated level, where for example the above mentioned “common controls” could take place as the general rule. I believe that regulators in countries aiming to incorporate digital health on a systemic level should come up with a long-term health IT strategy as well as \u003Cstrong>standards for health IT systems\u003C\u002Fstrong> in order to enable easier management of data and networks.\u003C\u002Fp>\n\n\n\n\u003Cp>Regarding devices themselves and their developers, the CEO of Tresorit believes that \u003Cem>security audits by trusted companies are crucial for all hardware and software that handle sensitive data such as medical data.\u003C\u002Fem> Lam said \u003Cstrong>hefty fines in case of a data breach\u003C\u002Fstrong> could also be an effective method to motivate companies to pay more attention to data protection. \u003Cem>For example, with the coming General Data Protection Regulation (GDPR) in Europe, companies who fail to protect personal data will face more severe regulatory fines. \u003Cstrong>Public bug bounty programs\u003C\u002Fstrong> could also help improve the security of these tools\u003C\u002Fem>.\u003C\u002Fp>\n\n\n\n\u003Cfigure class=\"wp-block-image\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"870\" height=\"271\" src=\"https:\u002F\u002F1712507217.rsc.cdn77.org\u002Fwp-content\u002Fuploads\u002F2017\u002F06\u002Fhealth-it-structures_data-privacy.png\" alt=\"Health IT Structures_Data Privacy\" class=\"wp-image-15808\" srcset=\"https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2017\u002F06\u002Fhealth-it-structures_data-privacy.png 870w, https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2017\u002F06\u002Fhealth-it-structures_data-privacy-768x239.png 768w, https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2017\u002F06\u002Fhealth-it-structures_data-privacy-512x159.png 512w, https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2017\u002F06\u002Fhealth-it-structures_data-privacy-458x143.png 458w\" sizes=\"auto, (max-width: 870px) 100vw, 870px\" \u002F>\u003C\u002Ffigure>\n\n\n\n\u003Cp>\u003C\u002Fp>\n\n\n\n\u003Cp>Beyond the building of a high-level data security system, securing the Internet of Health Things must become the number one priority of every connected healthcare network. We should do everything in order to efficiently secure patient data in the age of the digital tsunami, as the accumulation of data will only accelerate in the years to come.\u003C\u002Fp>\n\n\n\n\u003Cp>\u003C\u002Fp>\n\n\n\u003Cp>[subscribe image=”false” type=”article-horizontal”]Subscribe to\u003C\u002Fp>\n\u003Ch2>\u003Cb>The Medical Futurist℠ Newsletter\u003C\u002Fb>\u003C\u002Fh2>\n\u003Cul>\n\u003Cli>News shaping the future of healthcare\u003C\u002Fli>\n\u003Cli>Advice on taking charge of your health\u003C\u002Fli>\n\u003Cli>Reviews of the latest health technology\u003C\u002Fli>\n\u003C\u002Ful>\n\u003Cp>[\u002Fsubscribe]\u003C\u002Fp>\n\n\n\n\u003Ctable style=\"width: 100%; border-collapse: collapse; background-color: #eee; border-top: 4px solid #444;\" cellpadding=\"10px\">\n\u003Ctbody>\n\u003Ctr>\n\u003Ctd style=\"width: 100%;\">\n\u003Cp>\u003Cstrong>At The Medical Futurist, we are building a community for making a bold vision about the future of healthcare reality today.\u003C\u002Fstrong>\u003C\u002Fp>\n\u003Ciframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https:\u002F\u002Fwww.youtube.com\u002Fembed\u002FFIbMejImnxs\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen=\"\">\u003C\u002Fiframe>\n\u003Cp>If you’d like to support this mission, we invite you to \u003Ca href=\"https:\u002F\u002Fwww.patreon.com\u002Fthemedicalfuturist\">join The Medical Futurist Patreon Community\u003C\u002Fa>. A community of empowered patients, future-oriented healthcare professionals, concerned health policymakers, sensible health tech developers, and enthusiastic medical students. If there were ever a time to join us, it is now. Every contribution, however big or small, powers our research and sustains our future.\u003C\u002Fp>\n\u003Cp>\u003Ca href=\"https:\u002F\u002Fwww.patreon.com\u002Fthemedicalfuturist\">\u003Cstrong style=\"background-color: #e71d3299; color: #000;\">Click here to support The Medical Futurist from as little as $3\u003C\u002Fstrong>\u003C\u002Fa> – it only takes a minute. Thank you.\u003C\u002Fp>\n\u003C\u002Ftd>\n\u003C\u002Ftr>\n\u003C\u002Ftbody>\n\u003C\u002Ftable>\n\u003Cp> \u003C\u002Fp>\n",{"rendered":222,"protected":20},"\u003Cp>The recent WannaCry ransomware attack impaired the smooth operation of several NHS hospitals in the UK. The connectivity of corporate networks with file-sharing systems and printers let the virus travel around quicker than the flue. While in the first part of our article series, I looked at the IT vulnerabilities of healthcare in general; here, I show the dangers that could be associated with the internet of health things.\u003C\u002Fp>\n",6,15811,{"_acf_changed":20,"footnotes":27},[227,228,33],511,521,[230,231,232,233,234,235,236,51,237,238,37,239,39,240,41,241,242],289,699,700,519,701,702,530,686,687,196,246,275,698,[],[],[246,73,247,248,249,67,71,250,72,251],1739,4043,4295,4505,1693,1729,[253,14,76,77,78,79,80,254,255,83,256,257,258,259,260,261,262,100,263,264,86,265,88,266,90,267,268],"post-15795","category-bioethics","category-future-medicine","tag-innovation","tag-ioht","tag-iot","tag-gc4","tag-internet-of-things","tag-health-it","tag-big-data","tag-health-data","tag-data-privacy","tag-data-2","tag-future","tag-healthcare","tag-internet-of-health-things",{"id":224,"alt_text":27,"caption":27,"description":27,"media_type":112,"media_details":270,"post":151,"source_url":302},{"width":271,"height":272,"file":273,"sizes":274,"image_meta":300},870,407,"2017\u002F06\u002Finternet-of-health-things.png",{"medium":275,"large":280,"thumbnail":285,"medium_large":289,"large_old_512x240":290,"medium_old_458x214":295},{"file":276,"width":277,"height":278,"mime-type":122,"source_url":279},"internet-of-health-things-370x208.png",370,208,"https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2017\u002F06\u002Finternet-of-health-things-370x208.png",{"file":281,"width":282,"height":283,"mime-type":122,"source_url":284},"internet-of-health-things-768x359.png",768,359,"https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2017\u002F06\u002Finternet-of-health-things-768x359.png",{"file":286,"width":287,"height":287,"mime-type":122,"source_url":288},"internet-of-health-things-150x150.png",150,"https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2017\u002F06\u002Finternet-of-health-things-150x150.png",{"file":281,"width":282,"height":283,"mime-type":122,"source_url":284},{"file":291,"width":292,"height":293,"mime-type":122,"source_url":294},"internet-of-health-things-512x240.png",512,240,"https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2017\u002F06\u002Finternet-of-health-things-512x240.png",{"file":296,"width":297,"height":298,"mime-type":122,"source_url":299},"internet-of-health-things-458x214.png",458,214,"https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2017\u002F06\u002Finternet-of-health-things-458x214.png",{"aperture":140,"credit":27,"camera":27,"caption":27,"created_timestamp":140,"copyright":27,"focal_length":140,"iso":140,"shutter_speed":140,"title":27,"orientation":140,"keywords":301},[],"https:\u002F\u002Fcdn.medicalfuturist.com\u002Fwp-content\u002Fuploads\u002F2017\u002F06\u002Finternet-of-health-things.png",{"cta_type":27,"cta_color":27,"subtitle":27,"related_books":20,"related_posts_footer":20,"related_posts":20},{"yoast_wpseo_title":305,"yoast_wpseo_metadesc":27,"yoast_wpseo_canonical":216},"The NHS Ransomware Attack, Data Privacy & Security in the Era of Digital Health – Part II. - The Medical Futurist",{"self":307,"collection":312,"about":314,"author":316,"replies":319,"version-history":322,"predecessor-version":326,"wp:featuredmedia":330,"wp:attachment":333,"wp:term":336,"curies":347},[308],{"href":309,"targetHints":310},"https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Fposts\u002F15795",{"allow":311},[160],[313],{"href":163},[315],{"href":166},[317],{"embeddable":26,"href":318},"https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Fusers\u002F6",[320],{"embeddable":26,"href":321},"https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Fcomments?post=15795",[323],{"count":324,"href":325},19,"https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Fposts\u002F15795\u002Frevisions",[327],{"id":328,"href":329},46069,"https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Fposts\u002F15795\u002Frevisions\u002F46069",[331],{"embeddable":26,"href":332},"https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Fmedia\u002F15811",[334],{"href":335},"https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Fmedia?parent=15795",[337,339,341,343,345],{"taxonomy":189,"embeddable":26,"href":338},"https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Fcategories?post=15795",{"taxonomy":192,"embeddable":26,"href":340},"https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Ftags?post=15795",{"taxonomy":195,"embeddable":26,"href":342},"https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Fproject_category?post=15795",{"taxonomy":198,"embeddable":26,"href":344},"https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Fcontact_email_category?post=15795",{"taxonomy":201,"embeddable":26,"href":346},"https:\u002F\u002Fapi.medicalfuturist.com\u002Fwp-json\u002Fwp\u002Fv2\u002Fyst_prominent_words?post=15795",[348],{"name":205,"href":206,"templated":26},[350],{"id":147,"date":351,"date_gmt":352,"guid":353,"modified":355,"modified_gmt":356,"slug":357,"status":13,"type":358,"link":359,"title":360,"content":362,"excerpt":364,"author":366,"featured_media":367,"comment_status":25,"ping_status":25,"template":27,"yst_prominent_words":368,"class_list":369,"better_featured_image":372,"acf":408,"yoast_meta":429,"_links":432},"2021-03-03T21:58:00","2021-03-03T20:58:00",{"rendered":354},"https:\u002F\u002Fapi.medicalfuturist.com\u002F?post_type=book&p=24762","2024-05-29T23:37:45","2024-05-29T21:37:45","a-guide-to-artificial-intelligence-in-healthcare","book","https:\u002F\u002Fapi.medicalfuturist.com\u002Fbooks\u002Fa-guide-to-artificial-intelligence-in-healthcare\u002F",{"rendered":361},"A Guide to Artificial Intelligence in Healthcare",{"rendered":363,"protected":20},"\n\u003Cp>Can we stay human in the\nage of A.I.? To go even further, can we grow in humanity, can we shape a\nmore humane, more equitable and sustainable healthcare?\u003C\u002Fp>\n\n\n\n\u003Cp>Our e-book aims to prepare\nhealthcare and medical professionals for the era of human-machine collaboration.\nRead The Medical Futurist’s guide to understanding, anticipating and\ncontrolling artificial intelligence.\u003C\u002Fp>\n",{"rendered":365,"protected":20},"\u003Cp>Can we stay human in the age of A.I.? To go even further, can we grow in humanity, can we shape a more humane, more equitable 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