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JUNE 12, 2020                                                       | OPINION |             The Indian Eye                                37































        nario, medical equipment can  vestigation (FBI) thereafter is-               With the allocation of funds  staff lacks the necessary securi-
        completely be overridden by at- sued a warning about Kwampirs  in the 2019 union budget for the  ty know-how to implement up-
        tackers, limiting hospitals from  (a backdoor Trojan that grants  Ayushman Bharat Yojana, de- dates and patches promptly, and
        providing vital life-saving treat- remote computer access to  veloping  the healthcare sector  many medical devices lack secu-
        ment to patients.                    the attackers) malware target- is a top priority. Meanwhile, to  rity software altogether. Human
            In    the     backdrop      of ing supply chains including the  ensure better coverage for the  error opens a hole in systems as
        COVID-19, many healthcare  healthcare industry.                          healthcare initiative, the Minis- most breaches are triggered by
        organisations have seen an in-                                           try of Health has issued a critical  employee mistakes or unautho-
        crease in cyber exploitation. Ac-     india and digital healthcare       document for public consulta- rised  disclosures.  Experts  note
        cording to a report, the cyber-         India has not been very  tion to completely digitalise the  that hospitals often do not know
        attacks in the healthcare sector  far behind in riding the digital  healthcare data, and create a  what systems run on the devices
        increased by 150 per cent during  wave.  In 2017, the union cabi- national digital health network  they use. Many of these devices
        January-February 2020 as crimi- net approved the formulation of  called National Digital Health  are black boxes to hospitals as
        nals sought to take advantage of  National Health Policy, under  Blueprint. This would help  there is a general lack of aware-
        the system vulnerabilities during  which a National e-Health Au- deliver value-added services  ness, besides the usual lack of
        the crisis. Scams by grey-mar- thority (NeHA) is to be setup.  to the concerned users with a  resources. Without a multi-lay-
        keters for personal protective  Such a policy would evolve and  consent-based  flow  of  citizen’s  ered protective cyber ecosys-
        equipment (PPE) have also  expand health information net- health record.                                      tem, the medical staff may not
        seen a steady rise as healthcare  works across the continuum of              India  is  committed  to  fi- even know when they are under
        professionals remain short of  care, such as e-Health, m-Health,  nancially support all the dig- attack.
        critical supplies.                   and  cloud  technology  and  IoT  ital initiatives and looks for             India is at the cusp of digital
            On March 13, 2020, one  in healthcare delivery. Major IT  multi-stakeholder engagement  transformation. However, with
        of the Czech Republic’s big- initiatives include ‘India Fights  and private-public partnerships  digital threats becoming trick-
        gest testing laboratories, Brno  Dengue’ mobile app which pro- to scale up these initiatives.  ier, a more holistic approach
        University Hospital, was hit by  vides interactive information on  Even under the current crisis,  towards cybersecurity would be
        a cyberattack. As a result, the  the  identification  of  symptoms  the government has rolled out  needed to facilitate the creation
        hospital had to postpone ur- and links users to the nearest  apps such as Aarogya Setu to  of a vibrant digital healthcare
        gent surgical interventions and  hospitals and blood banks. The  help citizens identify the risk  environment.  If going digital is
        transfer patients with acute con- Swasth  Bharat  (Healthy  India)  of contracting COVID-19 and  necessary for the country to be
        ditions to a different hospital  app provides information on  AYUSH Sanjivani to spread  on  par  with the digital  world,
        while shutting down their entire  healthy lifestyle, disease con- awareness  about  traditional  then building a resilient and
        IT network. Similarly, the web- ditions and their symptoms,  Ayurvedic medicines.                             trusted cyber ecosystem is also a
        site of Champaign-Urbana Pub- treatment  options,  and  first                                                 necessity.
        lic Health District in the United  aid and public health alerts.                   way forward
        States was attacked by new ran-         The Ministry of Health and           Going digital is the most         Kritika Roy is Research Analyst
        somware called NetWalker. Vic- Family Welfare introduced a  effective way to protect the  at Manohar Parrikar Institute for
        tims received a ransom demand  draft bill on Digital Informa- first line of healthcare workers                 Defence Studies and Analyses.
        for the encryption key to regain- tion Security in Healthcare Act  especially in the case of high-
        ing access to their data. This  (DISHA) in March 2018. One  ly communicable viruses like                      Views expressed are of the author
                                                                                                                        and do not necessarily reflect
        ransomware camouflaged itself  key purpose of the proposed bill  COVID-19 while increasing                     the views of the IDSA or of the
        within essential Windows func- is to secure and create reliable  the efficiency of health services.                 Government of India.
        tions to evade anti-virus detec- storage of healthcare data. It  However, cybersecurity can-
        tion. Health district employees  will help constitute a health in- not be an afterthought in the               This article first appeared in the
        became aware of the ransom- formation exchange, as deemed  healthcare sector. Medical spe-                    Comments section of the website
        ware attack on March 10 when  eligible by the Act, and maintain  cialists often use old and out-              of the Institute for Defence Stud-
        they lost access to the medical  the digital healthcare data of in- dated  software/hardware  with             ies and Analyses (IDSA), New
        files. The Federal Bureau of In- dividual patients.                      minimum  security  features,              Delhi, on June 11, 2020


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