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A12    TECHNOLOGY
                Saturday 5 december 2020

            As hospitals cope with a COVID-19 surge, cyber threats loom



            By  MARION  RENAULT  and                                                                                            been brought back online,
            WILSON RING                                                                                                         but  others  were  replaced
            Associated Press                                                                                                    entirely.
            BURLINGTON, Vt. (AP) — By                                                                                           Col.   Christopher   Evans
            late  morning  on  Oct.  28,                                                                                        said  it’s  the  first  time  the
            staff at the University of Ver-                                                                                     unit,  which  was  founded
            mont  Medical  Center  no-                                                                                          about  20  years  ago,  has
            ticed  the  hospital’s  phone                                                                                       been  called  upon  to  per-
            system wasn’t working.                                                                                              form  what  the  guard  calls
            Then  the  internet  went                                                                                           “a real-world” mission. “We
            down,  and  the  Burlington-                                                                                        have been training for this
            based  center’s  technical                                                                                          day  for  a  very  long  time,”
            infrastructure  with  it.  Em-                                                                                      he said.
            ployees  lost  access  to  da-                                                                                      It  could  be  several  more
            tabases,  digital  health  re-                                                                                      weeks  before  all  the  re-
            cords,  scheduling  systems                                                                                         lated  damage  is  repaired
            and other online tools they                                                                                         and  the  systems  are  oper-
            rely on for patient care.                                                                                           ating  normally  again,  Go-
            Administrators  scrambled    In this photo provided by the University of Vermont Health Network, IT staff at the University of   beille said.
            to  keep  the  hospital  oper-  Vermont  Medical  Center  in  Burlington,  Vt.,  continue  work  to  scan  thousands  of  the  hospital’s   “I  don’t  want  to  get  peo-
            ational  —  cancelling  non-  computer systems for malware on Friday, Nov. 20, 2020, after the Oct. 28 cyberattack forced a   ples’  hopes  up  and  be
                                         shut down of the hospital’s electronic medical records system and other key systems.
            urgent  appointments,  re-                                                                         Associated Press  wrong,” he said. “Our folks
            verting  to  pen-and-paper                                                                                          have  been  working  24/7.
            record keeping and rerout-   cabling.                     ple  out  into  patient  care  lieve  any  patient  suffered  They are getting closer and
            ing  some  critical  care  pa-  A few weeks earlier, in Ger-  when  a  center’s  capac-  immediate  harm,  or  that  closer every day.”
            tients to nearby hospitals.  many,  a  woman’s  death  ity  is  stretched  thin,  said  any  personal  patient  infor-  It will be a scramble for oth-
            In its main laboratory, which  became  the  first  fatality  Vanderbilt  University’s  Eric  mation was compromised.   er health care providers to
            runs  about  8,000  tests  a  believed  to  result  from  a  Johnson,  who  studies  the  But  more  than  a  month  protect themselves against
            day, employees printed or  ransomware attack. Earlier  health impacts of cyberat-      later,  the  hospital  is  still  re-  the  growing  threat  of  cy-
            hand-wrote results and car-  in  October,  facilities  in  Or-  tacks.                 covering.                    berattacks  if  they  haven’t
            ried  them  across  facilities  egon, New York, Michigan,  “November  has  been  a  Some       employees    were  already, said data security
            to  specialists.  Outdated,  Wisconsin  and  California  month  of  escalating  de-    furloughed  for  weeks  until  expert Larry Ponemon.
            internet-free  technologies  also  fell  prey  to  suspect-  mands  on  hospitals,”  he  they  could  return  to  their  “It’s  not  like  hospital  sys-
            experienced a revival.       ed  ransomware  attacks.  said.  “There’s  no  room  for  regular duties.              tems  need  to  do  some-
            “We went around and got  Ransomware  is  also  partly  error. From a hacker’s per-     Oncologists  could  not  ac-  thing  new,”  he  said.  “They
            every fax machine that we  to  blame  for  some  of  the  spective, it’s perfect.”     cess  older  patient  scans  just  need  to  do  what  they
            could,”  said  UVM  Medical  nearly  700  private  health  A  ‘CALL  TO  ARMS’  FOR  which could help them, for  should be doing anyway.”
            Center Chief Operating Of-   information  breaches,  af-  HOSPITALS                    example,  compare  tumor  Current     industry   reports
            ficer Al Gobeille.           fecting  about  46.6  million  The  day  after  the  Oct.  28  size over time.         indicate    health  systems
            The  Vermont  hospital  had  people and currently being  cyberattack,    53-year-old  And,  until  recently,  emer-  spend only 4% to 7% of their
            fallen  prey  to  a  cyberat-  investigated by the federal  Joel Bedard, of Jericho, ar-  gency  department  clini-  IT budget on cybersecurity,
            tack, becoming one of the  government.  In  the  hands  rived  for  a  scheduled  ap-  cians  could  take  X-rays  of  whereas  other  industries
            most recent and visible ex-  of  a  criminal,  a  single  pa-  pointment at the Burlington  broken bones but couldn’t  like  banking  or  insurance
            amples of a wave of digital  tient  record  —  rich  with  hospital.                   electronically  send  the  im-  spend three times as much.
            assaults  taking  U.S.  health  details  about  a  person’s  He  was  able  to  get  in,  he  ages to radiologists at other  Research  by  Ponemon’s
            care  providers  hostage  as  finances,  insurance  and  said,  because  his  fluid-   sites in the health network.  consulting  firm  shows  only
            COVID-19  cases  surge  na-  medical  history  —  can  sell  draining  treatment  is  not  “We  didn’t  even  have  in-  about  15%  of  health  care
            tionwide.                    for upward of $1,000 on the  high-tech, and is something  ternet,” said Dr. Kristen DeS-  organizations  have  adopt-
            The same day as UVM’s at-    black market, experts say.   he’s gotten regularly as he  tigter,  chair  of  UVM  Medi-  ed the technology, training
            tack, the FBI and two fed-   Over  the  course  of  2020,  waits for a liver transplant.  cal  Center’s  radiology  de-  and procedures necessary
            eral  agencies  warned  cy-  many  hospitals  postponed  “I  got  through,  they  took  partment.                   to manage and thwart the
            bercriminals  were  ramping  technology  upgrades  or  care  of  me,  but  man,  ev-   The  tech  outage  also  de-  stream  of  cyberattacks
            up efforts to steal data and  cybersecurity  training  that  erything  is  down,”  Bedard  layed  the  reporting  of  they face on a regular ba-
            disrupt  services  across  the  would  help  protect  them  said.  He  said  he  saw  no  about  50  coronavirus  test  sis.
            health care sector.          from  the  newest  wave  of  other  patients  that  day.  results to the state, prompt-  “The  rest  are  out  there  fly-
            By targeting providers with  attacks,  said  health  care  Much  of  the  medical  staff  ing the hospital to revert to  ing  with  their  head  down.
            attacks that scramble and  security  consultant  Nick  idled,     doing    crossword  a  fax  system  for  reporting  That  number  is  unaccept-
            lock  up  data  until  victims  Culbertson.               puzzles and explaining they  results  until  its  information  able,”  Ponemon  said.  “It’s
            pay a ransom, hackers can  “The  amount  of  chaos  were  forced  to  document  technology  problems  are  a pitiful rate.”
            demand  thousands  or  mil-  that’s  just  coming  to  a  everything by hand.          fixed, UVM Medical Center  And  it’s  part  of  why  cy-
            lions  of  dollars  and  wreak  head here is a real threat,”  “All the students and interns  President  Dr.  Stephen  Lef-  bercriminals  have  focused
            havoc until they’re paid.    he said.                     are, like, ‘How did this work  fler said Thursday.        their  attention  on  health
            In  September,  for  exam-   With  COVID-19  infections  back in the day?’” he said.   Soldiers  with  the  state’s  care  organizations  —  es-
            ple,  a  ransomware  attack  and  hospitalizations  climb-  Since  the  attack,  the  Burl-  National  Guard  cyber  unit  pecially  now,  as  hospitals
            paralyzed a chain of more  ing nationwide, experts say  ington-based  hospital  net-   have  helped  hospital  IT  across  the  country  are
            than 250 U.S. hospitals and  health  care  providers  are  work has referred all ques-  workers scour the program-  coping with a surge of CO-
            clinics.  The  resulting  out-  dangerously   vulnerable  tions  about  its  technical  ming  code  in  hundreds  of  VID-19 patients, he said.
            ages  delayed  emergency  to  attacks  on  their  ability  details to the FBI, which has  computers  and  other  de-  “We’re  seeing  true  clinical
            room care and forced staff  to  function  efficiently  and  refused to release any ad-  vices,  line-by-line,  to  wipe  impact,”  said  health  care
            to restore critical heart rate,  manage limited resources.  ditional  information,  citing  any  remaining  malicious  cybersecurity   consultant
            blood pressure and oxygen  Even  a  small  technical  an  ongoing  criminal  inves-    code  that  could  re-infect  Dan  L.  Dodson.  “This  is  a
            level monitors with ethernet  disruption  can  quickly  rip-  tigation. Officials don’t be-  the  system.  Many  have  call to arms.”q
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