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Transcript of Health Information Privacy and Security
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Health Information Privacy & SecurityNawanan Theera‐Ampornpunt, M.D., Ph.D.Faculty of Medicine Ramathibodi Hospital
Mahidol UniversityJune 19, 2013
http://www.SlideShare.net/Nawanan
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Introduction to Information Privacy & Security Protecting Information Privacy & Security User Security Software Security Cryptography Malware Security Standards
Outline
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Introduction to Information Privacy &
Security
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Malware
Threats to Information Security
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Sources of the Threats Hackers Viruses & Malware Poorly‐designed systems Insiders (Employees) People’s ignorance & lack of knowledge Disasters & other incidents affecting information systems
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Information risks Unauthorized access & disclosure of confidential information Unauthorized addition, deletion, or modification of information
Operational risks System not functional (Denial of Service ‐ DoS) System wrongly operated
Personal risks Identity thefts Financial losses Disclosure of information that may affect employment or other personal aspects (e.g. health information)
Physical/psychological harms Organizational risks
Financial losses Damage to reputation & trust
Etc.
Consequences of Security Attacks
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Privacy: “The ability of an individual or group to seclude themselves or information about themselves and thereby reveal themselves selectively.” (Wikipedia)
Security: “The degree of protection to safeguard ... person against danger, damage, loss, and crime.” (Wikipedia)
Information Security: “Protecting information and information systems from unauthorized access, use, disclosure, disruption, modification, perusal, inspection, recording or destruction” (Wikipedia)
Privacy & Security
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Information Security
Confidentiality Integrity Availability
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Examples of Confidentiality Risks
http://usatoday30.usatoday.com/life/people/2007‐10‐10‐clooney_N.htm
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Examples of Integrity Risks
http://www.wired.com/threatlevel/2010/03/source‐code‐hacks/http://en.wikipedia.org/wiki/Operation_Aurora
“Operation Aurora”Alleged Targets: Google, Adobe, Juniper Networks, Yahoo!, Symantec, Northrop Grumman, Morgan Stanley, Dow ChemicalGoal: To gain access to and potentially modify source code repositories at high tech, security & defense contractor companies
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Examples of Integrity Risks
http://news.softpedia.com/news/700‐000‐InMotion‐Websites‐Hacked‐by‐TiGER‐M‐TE‐223607.shtml
Web Defacements
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Examples of Availability Risks
http://en.wikipedia.org/wiki/Blaster_worm
Viruses/worms that led to instability & system restart (e.g. Blaster worm)
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Examples of Availability Risks
http://en.wikipedia.org/wiki/Ariane_5_Flight_501
Ariane 5 Flight 501 Rocket Launch FailureCause: Software bug on rocket acceleration due to data conversion from a 64‐bit floating point number to a 16‐bit signed integer without proper checks, leading to arithmatic overflow
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Interesting Resources http://en.wikipedia.org/wiki/List_of_software_bugs http://en.wikipedia.org/wiki/Notable_computer_viruses_and_worms
http://en.wikipedia.org/wiki/Hacktivism http://en.wikipedia.org/wiki/Website_defacement http://en.wikipedia.org/wiki/Hacker_(computer_security) http://en.wikipedia.org/wiki/List_of_hackers
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Protecting Information Privacy & Security
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Attack An attempt to breach system security
Threat A scenario that can harm a system
Vulnerability The “hole” that is used in the attack
Common Security Terms
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Identify some possible means an attacker could use to conduct a security attack
Class Exercise
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Alice
Simplified Attack Scenarios
Server Bob
Eve/Mallory
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Alice
Simplified Attack Scenarios
Server Bob
‐ Physical access to client computer‐ Electronic access (password)‐ Tricking user into doing something (malware, phishing & social engineering)
Eve/Mallory
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Alice
Simplified Attack Scenarios
Server Bob
‐ Intercepting (eavesdropping or “sniffing”) data in transit
‐ Modifying data (“Man‐in‐the‐middle” attacks)
‐ “Replay” attacksEve/Mallory
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Alice
Simplified Attack Scenarios
Server Bob
‐ Unauthorized access to servers through‐ Physical means‐ User accounts & privileges‐ Attacks through software vulnerabilities‐ Attacks using protocol weaknesses
‐ DoS / DDoS attacks Eve/Mallory
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Alice
Simplified Attack Scenarios
Server Bob
Other & newer forms of attacks possible
Eve/Mallory
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Alice
Safeguarding Against Attacks
Server Bob
Administrative Security‐ Security & privacy policy‐ Governance of security risk management & response‐ Uniform enforcement of policy & monitoring‐ Disaster recovery planning (DRP) & Business continuity
planning/management (BCP/BCM)‐ Legal obligations, requirements & disclaimers
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Alice
Safeguarding Against Attacks
Server Bob
Physical Security‐ Protecting physical access of clients & servers
‐ Locks & chains, locked rooms, security cameras‐ Mobile device security‐ Secure storage & secure disposition of storage devices
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Alice
Safeguarding Against Attacks
Server BobUser Security‐ User account management
‐ Strong p/w policy (length, complexity, expiry, no meaning)‐ Principle of Least Privilege‐ “Clear desk, clear screen policy”‐ Audit trails
‐ Education, awareness building & policy enforcement‐ Alerts & education about phishing & social engineering
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Alice
Safeguarding Against Attacks
Server Bob
System Security‐ Antivirus, antispyware, personal firewall, intrusion
detection/prevention system (IDS/IPS), log files, monitoring‐ Updates, patches, fixes of operating system vulnerabilities &
application vulnerabilities‐ Redundancy (avoid “Single Point of Failure”)‐ Honeypots
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Alice
Safeguarding Against Attacks
Server Bob
Software Security‐ Software (clients & servers) that is secure by design‐ Software testing against failures, bugs, invalid inputs,
performance issues & attacks‐ Updates to patch vulnerabilities
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Alice
Safeguarding Against Attacks
Server Bob
Network Security‐ Access control (physical & electronic) to network devices‐ Use of secure network protocols if possible‐ Data encryption during transit if possible‐ Bandwidth monitoring & control
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Alice
Safeguarding Against Attacks
Server Bob
Database Security‐ Access control to databases & storage devices‐ Encryption of data stored in databases if necessary‐ Secure destruction of data after use‐ Access control to queries/reports‐ Security features of database management systems (DBMS)
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Privacy Safeguards
Image: http://www.nurseweek.com/news/images/privacy.jpg
Security safeguards Informed consent Privacy culture User awareness building & education Organizational policy & regulations Enforcement Ongoing privacy & security assessments, monitoring, and protection
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User Security
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Access control Selective restriction of access to the system
Role‐based access control Access control based on the person’s role (rather than identity)
Audit trails Logs/records that provide evidence of sequence of activities
User Security
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Identification Identifying who you are Usually done by user IDs or some other unique codes
Authentication Confirming that you truly are who you identify Usually done by keys, PIN, passwords or biometrics
Authorization Specifying/verifying how much you have access Determined based on system owner’s policy & system configurations
“Principle of Least Privilege”
User Security
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Nonrepudiation Proving integrity, origin, & performer of an activity without the person’s ability to refute his actions
Most common form: signatures Electronic signatures offer varying degrees of nonrepudiation PIN/password vs. biometrics
Digital certificates (in public key infrastructure ‐ PKI) often used to ascertain nonrepudiation
User Security
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Multiple‐Factor Authentication Two‐Factor Authentication
Use of multiple means (“factors”) for authentication Types of Authentication Factors
Something you know Password, PIN, etc.
Something you have Keys, cards, tokens, devices (e.g. mobile phones)
Something you are Biometrics
User Security
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Need for Strong Password Policy
So, two informaticianswalk into a bar...
The bouncer says, ʺWhatʹs the password.ʺ
One says, ʺPassword?ʺ
The bouncer lets them in.
Credits: @RossMartin & AMIA (2012)
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Recommended Password Policy Length
8 characters or more (to slow down brute‐force attacks) Complexity (to slow down brute‐force attacks)
Consists of 3 of 4 categories of characters Uppercase letters Lowercase letters Numbers Symbols (except symbols that have special uses by the system or that can be used to hack system, e.g. SQL Injection)
No meaning (“Dictionary Attacks”) Not simple patterns (12345678, 11111111) (to slow down brute‐force attacks & prevent dictionary attacks)
Not easy to guess (birthday, family names, etc.) (to prevent unknown & known persons from guessing)
Personal opinion. No legal responsibility assumed.
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Recommended Password Policy Expiration (to make brute‐force attacks not possible)
6‐8 months Decreasing over time because of increasing computer’s speed
But be careful! Too short duration will force users to write passwords down
Secure password storage in database or system (encrypted or store only password hashes)
Secure password confirmation Secure “forget password” policy Different password for each account. Create variations to help remember. If not possible, have different sets of accounts for differing security needs (e.g., bank accounts vs. social media sites) Personal opinion. No legal responsibility assumed.
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Techniques to Remember Passwords http://www.wikihow.com/Create‐a‐Password‐You‐Can‐Remember Note that some of the techniques are less secure!
One easy & secure way: password mnemonic Think of a full sentence that you can remember Ideally the sentence should have 8 or more words, with numbers and symbols
Use first character of each word as password Sentence: I love reading all 7 Harry Potter books! Password: Ilra7HPb! Voila!
Personal opinion. No legal responsibility assumed.
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Dear mail.mahidol.ac.th Email Account User,
We wrote to you on 11th January 2010 advising that you change the password onyour account in order to prevent any unauthorised account access followingthe network instruction we previously communicated.
all Mailhub systems will undergo regularly scheduled maintenance. Accessto your e‐mail via the Webmail client will be unavailable for some timeduring this maintenance period. We are currently upgrading our data baseand e‐mail account center i.e homepage view. We shall be deleting old[https://mail.mahidol.ac.th/l accounts which are no longer active to createmore space for new accountsusers. we have also investigated a system widesecurity audit to improve and enhanceour current security.
In order to continue using our services you are require to update andre‐comfirmed your email account details as requested below. To completeyour account re‐comfirmation,you must reply to this email immediately andenter your accountdetails as requested below.
Username :Password :Date of Birth:Future Password :
Social Engineering Examples
Real social‐engineering e‐mail received by Speaker
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Phishing
Real phishing e‐mail received by Speaker
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Poor grammar Lots of typos Trying very hard to convince you to open attachment, click on link, or reply without enough detail
May appear to be from known person (rely on trust & innocence)
Signs of a Phishing Attack
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Don’t be too trusting of people Always be suspicious & alert An e‐mail with your friend’s name & info doesn’t have to come from him/her
Look for signs of phishing attacks Don’t open attachments unless you expect them Scan for viruses before opening attachments Don’t click links in e‐mail. Directly type in browser using known & trusted URLs
Especially cautioned if ask for passwords, bank accounts, credit card numbers, social security numbers, etc.
Ways to Protect against Phishing
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Software Security
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Most common reason for security bugs is invalid programming assumptions that attackers will look for
Weak input checking Buffer overflow Integer overflow Race condition (Time of Check / Time of Use vulnerabilities)
Running programs in new environments
Software Security
Adapted from Nicholas Hopper’s teaching slides for UMN Computer Security Class Fall 2006 CSCI 5271
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Feeping creaturism (Creeping featurism) Log files that contain sensitive information
Configuration bugs Unnecessary privileges Monoculture Security bypass
Software Security
Adapted from Nicholas Hopper’s teaching slides for UMN Computer Security Class Fall 2006 CSCI 5271
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Consider a log‐in form on a web page
Example of Weak Input Checking: SQL Injection
Source code would look something like this:statement = ʺSELECT * FROM users WHERE name = ʹʺ + userName + ʺʹ;ʺ
Attacker would enter as username:
ʹ or ʹ1ʹ=ʹ1
Which leads to this always‐true query: statement = ʺSELECT * FROM users WHERE name = ʹʺ + ʺʹ or ʹ1ʹ=ʹ1ʺ + ʺʹ;ʺ
statement = ʺSELECT * FROM users WHERE name = ʹʹ or ʹ1ʹ=ʹ1ʹ;ʺ
http://en.wikipedia.org/wiki/SQL_injection
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Economy of Mechanism Design should be small & simple
Fail‐safe default Complete mediation Check every access to every object
Open design Separation of privilege / Least Privilege
Secure Software Design Principles
Saltzer & Schroeder (1975), Viega & McGraw (2000)Adapted from Nicholas Hopper’s teaching slides for UMN Computer Security Class Fall 2006 CSCI 5271
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Least common mechanism Minimize complexity of shared components
Psychological acceptability If users don’t buy in to security mechanism or don’t understand how to use it, system is insecure
Work factor Cost of attack should exceed resources attacker will spend
Secure Software Design Principles
Saltzer & Schroeder (1975), Viega & McGraw (2000)Adapted from Nicholas Hopper’s teaching slides for UMN Computer Security Class Fall 2006 CSCI 5271
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Compromise recording If too expensive to prevent a compromise, record it
Tamper evident vs. tamperproof Log files
Secure Software Design Principles
Saltzer & Schroeder (1975), Viega & McGraw (2000)Adapted from Nicholas Hopper’s teaching slides for UMN Computer Security Class Fall 2006 CSCI 5271 Image source: http://www.flickr.com/photos/goobelyga/2340650133/
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Defense in Depth Multiple layers of security defense are placed throughout a system to provide redundancy in the event a security control fails
Secure the weakest link Promote privacy Trust no one
Secure Software Design Principles
Saltzer & Schroeder (1975), Viega & McGraw (2000)Adapted from Nicholas Hopper’s teaching slides for UMN Computer Security Class Fall 2006 CSCI 5271 http://en.wikipedia.org/wiki/Defense_in_depth_(computing)
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Modular design Check error conditions on return values Validate inputs (whitelist vs. blacklist) Avoid infinite loops, memory leaks Check for integer overflows Language/library choices Development processes
Secure Software Best Practices
Adapted from Nicholas Hopper’s teaching slides for UMN Computer Security Class Fall 2006 CSCI 5271
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Cryptography
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Goal: provide a secure channel between Alice & Bob A secure channel Leaks no information about its contents Delivers only messages from Alice & Bob Delivers messages in order or not at all
Cryptography
Adapted from Nicholas Hopper’s teaching slides for UMN Computer Security Class Fall 2006 CSCI 5271
Alice Bob
Eve
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Use of keys to convert plaintext into ciphertext Secret keys only Alice & Bob know History: Caesar’s cipher, substitution cipher, polyalphabetic rotation
Use of keys and some generator function to create random‐looking strings (e.g. stream ciphers, block ciphers)
Cryptography
Adapted from Nicholas Hopper’s teaching slides for UMN Computer Security Class Fall 2006 CSCI 5271
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Encryption Using Secret Key (Symmetric Cryptography)
Adapted from Nicholas Hopper’s teaching slides for UMN Computer Security Class Fall 2006 CSCI 5271
Alice BobEve
1. Encrypt message using secret key2. Send encrypted message to Bob
3. Decrypt message using same secret key
Eve doesn’t know secret key (but there are various ways to discover the key)
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What if no shared secret exists? Public‐key cryptography Each publishes public key publicly Each keep secret key secret Use arithmetic to encrypt & decrypt message
Cryptography
Adapted from Nicholas Hopper’s teaching slides for UMN Computer Security Class Fall 2006 CSCI 5271
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Public‐Key Cryptography (Asymmetric Cryptography)
Adapted from Nicholas Hopper’s teaching slides for UMN Computer Security Class Fall 2006 CSCI 5271
Alice BobEve
1. Obtains Bob’s public key from public server2. Use Bob’s public key to encrypt message3. Send encrypted message to Bob
Even if Eve knows public key, can’t discover message (unless weakness in algorithm)
4. Decrypt message using own private key
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Digital Signatures
Adapted from Nicholas Hopper’s teaching slides for UMN Computer Security Class Fall 2006 CSCI 5271
Alice Bob
1. Sign message using own private key2. Send plaintext and random‐looking string (digital signature) to Bob
Provides nonrepudiation
3. Use Alice’s public key against plaintext received to get digital signature4. Compare to match Alice’s digital signature received against signature obtained in #3
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Malware
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Malicious software ‐Any code with intentional, undesirable side effects
Virus Worm Trojan Spyware Logic Bomb/Time Bomb Backdoor/Trapdoor Rootkit Botnet
Malware
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Virus Propagating malware that requires user action to propagate
Infects executable files, data files with executable contents (e.g. Macro), boot sectors
Worm Self‐propagating malware
Trojan A legitimate program with additional, hidden functionality
Malware
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Spyware Trojan that spies for & steals personal information
Logic Bomb/Time Bomb Malware that triggers under certain conditions
Backdoor/Trapdoor A hole left behind by malware for future access
Malware
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Rogue Antispyware (Ransomware) Software that tricks or forces users to pay before fixing (real or hoax) spyware detected
Rootkit A stealth program designed to hide existence of certain processes or programs from detection
Botnet A collection of Internet‐connected computers that have been compromised (bots) which controller of the botnet can use to do something (e.g. do DDoS attacks)
Malware
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Installed & updated antivirus, antispyware, & personal firewall Check for known signatures Check for improper file changes (integrity failures) Check for generic patterns of malware (for unknown malware): “Heuristics scan”
Firewall: Block certain network traffic in and out Sandboxing Network monitoring & containment User education Software patches, more secure protocols
Defense Against Malware
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Social media spams/scams/clickjacking Social media privacy issues
User privacy settings Location services
Mobile device malware & other privacy risks Stuxnet (advanced malware targeting certain countries)
Advanced persistent threats (APT) by governments & corporations against specific targets
Newer Threats
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Security Standards
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• ISO/IEC 27000 — Information security management systems —Overview and vocabulary
• ISO/IEC 27001 — Information security management systems —Requirements• ISO/IEC 27002 — Code of practice for information security management• ISO/IEC 27003 — Information security management system implementation guidance• ISO/IEC 27004 — Information security management —Measurement• ISO/IEC 27005 — Information security risk management• ISO/IEC 27031 — Guidelines for information and communications technology readiness
for business continuity• ISO/IEC 27032 — Guideline for cybersecurity (essentially, ʹbeing a good neighborʹ on
the Internet)• ISO/IEC 27033‐1 —Network security overview and concepts• ISO/IEC 27033‐2 —Guidelines for the design and implementation of network security• ISO/IEC 27033‐3:2010 — Reference networking scenarios ‐ Threats, design techniques
and control issues• ISO/IEC 27034 — Guideline for application security• ISO/IEC 27035 — Security incident management• ISO 27799 — Information security management in health using ISO/IEC 27002
Some Information Security Standards
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US‐CERT U.S. Computer Emergency Readiness Team http://www.us‐cert.gov/ Subscribe to alerts & news
Microsoft Security Resources http://technet.microsoft.com/en‐us/security http://technet.microsoft.com/en‐us/security/bulletin
Common Vulnerabilities & Exposures http://cve.mitre.org/
More Information
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Q & A