Update on International Cyber Threat to Healthcare Organizations

PUBLISHED: May 15, 2017
Relevant to: Ambulatory Care, Behavioral Health, Clinical Lab, Home Health, Hospice, Hospitals, Long Term Care, Medical Office/Clinic

According to the United States Computer Emergency Readiness Team (US-CERT), last week there were multiple reports of WannaCry ransomware infections in many countries around the world. Ransomware is a type of malicious software that infects a computer and restricts users’ access to it until a ransom is paid to unlock it. Individuals and organizations are discouraged from paying the ransom, as this does not guarantee access will be restored.

Background:

According to numerous open-source reports, a widespread ransomware campaign is affecting various organizations with reports of tens of thousands of infections in as many as 74 countries, including the United States, United Kingdom, Spain, Russia, Taiwan, France, and Japan. The software can run in as many as 27 different languages. The latest version of this ransomware variant, known as WannaCry, WCry, or Wanna Decryptor, was discovered the morning of May 12, 2017, by an independent security researcher and has spread rapidly over several hours, with initial reports beginning around 4:00 AM EDT, May 12, 2017. Open-source reporting indicates a requested ransom of .1781 bitcoins, roughly $300 U.S.

Initial reports indicate the hacker or hacking group behind the WannaCry campaign is gaining access to enterprise servers either through Remote Desktop Protocol (RDP) compromise or through the exploitation of a critical Windows SMB vulnerability. Microsoft released a security update for the MS17-010 vulnerability on March 14, 2017. Additionally, Microsoft released patches for Windows XP, Windows 8, and Windows Server 2003 operating systems on May 13, 2017. According to open sources, one possible infection vector is via phishing emails.

Initial Analysis:

The WannaCry ransomware received and analyzed by US-CERT is a loader that contains an AES-encrypted DLL. During runtime, the loader writes a file to disk named “t.wry”. The malware then uses an embedded 128-bit key to decrypt this file. This DLL, which is then loaded into the parent process, is the actual Wanna Cry Ransomware responsible for encrypting the user’s files. Using this cryptographic loading method, the WannaCry DLL is never directly exposed on disk and not vulnerable to antivirus software scans.

The newly loaded DLL immediately begins encrypting files on the victim’s system and encrypts the user’s files with 128-bit AES. A random key is generated for the encryption of each file.

The malware also attempts to access the IPC$ shares and SMB resources the victim system has access to. This access permits the malware to spread itself laterally on a compromised network. However, the malware never attempts to attain a password from the victim’s account in order to access the IPC$ share.

This malware is designed to spread laterally on a network by gaining unauthorized access to the IPC$ share on network resources on the network on which it is operating.

Impact:

Ransomware not only targets home users; businesses can also become infected with ransomware, leading to negative consequences, including:

  • temporary or permanent loss of sensitive or proprietary information,
  • disruption to regular operations,
  • financial losses incurred to restore systems and files, and
  • potential harm to an organization’s reputation.

Paying the ransom does not guarantee the encrypted files will be released; it only guarantees that the malicious actors receive the victim’s money, and in some cases, their banking information. In addition, decrypting files does not mean the malware infection itself has been removed.

Recommended Steps for Prevention:

  • Apply the Microsoft patch for the MS17-010 SMB vulnerability dated March 14, 2017.
  • Enable strong spam filters to prevent phishing e-mails from reaching the end users and authenticate in-bound e-mail using technologies like Sender Policy Framework (SPF), Domain Message Authentication Reporting and Conformance (DMARC), and DomainKeys Identified Mail (DKIM) to prevent e-mail spoofing.
  • Scan all incoming and outgoing e-mails to detect threats and filter executable files from reaching the end users.
  • Ensure anti-virus and anti-malware solutions are set to automatically conduct regular scans.
  • Manage the use of privileged accounts. Implement the principle of least privilege. No users should be assigned administrative access unless absolutely needed. Those with a need for administrator accounts should only use them when necessary.
  • Configure access controls including file, directory, and network share permissions with least privilege in mind. If a user only needs to read specific files, they should not have write access to those files, directories, or shares.
  • Disable macro scripts from Microsoft Office files transmitted via e-mail. Consider using Office Viewer software to open Microsoft Office files transmitted via e-mail instead of full Office suite applications.
  • Develop, institute and practice employee education programs for identifying scams, malicious links, and attempted social engineering.
  • Have regular penetration tests run against the network. No less than once a year. Ideally, as often as possible/practical.
  • Test your backups to ensure they work correctly upon use.

Recommended Steps for Remediation:

  • Contact law enforcement. We strongly encourage you to contact a local FBI field office upon discovery to report an intrusion and request assistance. Maintain and provide relevant logs.
  • Implement your security incident response and business continuity plan. Ideally, organizations should ensure they have appropriate backups so their response is simply to restore the data from a known clean backup.

Defending Against Ransomware Generally

  • Ensure anti-virus software is up-to-date.
  • Implement a data back-up and recovery plan to maintain copies of sensitive or proprietary data in a separate and secure location. Backup copies of sensitive data should not be readily accessible from local networks.
  • Scrutinize links contained in e-mails, and do not open attachments included in unsolicited e-mails.
  • Only download software – especially free software – from sites you know and trust.
  • Enable automated patches for your operating system and Web browser.

Included with today’s notice are two example policies related to preventing ransomware attacks.

The Department of Homeland Security and the Federal Bureau of Investigation encourages recipients who identify the use of tool(s) or techniques discussed in this document to report information to DHS or law enforcement immediately. Contact DHS’s National Cybersecurity and Communications Integration Center (NCCIC) (NCCICcustomerservice@hq.dhs.gov(link sends e-mail)or 888-282-0870), or the FBI through a local field office or the FBI’s Cyber Division (CyWatch@ic.fbi.gov (link sends e-mail)or 855-292-3937) to report an intrusion and to request incident response resources or technical assistance.

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