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. 2023 Nov 20;195(45):E1548-E1554.
doi: 10.1503/cmaj.230436.

Cyberattacks on Canadian health information systems

Vinyas Harish  1 , Alun Ackery  2 , Kiran Grant  2 , Trevor Jamieson  2 , Shaun Mehta  2
Affiliations

Cyberattacks on Canadian health information systems

Vinyas Harish et al. CMAJ. .

Erratum in

No abstract available

PubMed Disclaimer

Conflict of interest statement

Competing interests: Alun Ackery is provincial medical director with CritiCall Ontario. No other competing interests were declared.

Figures

Figure 1:
Figure 1:
Recent cyberattacks on Canadian health information systems, including denial of service (red), ransomware (green), data breach (blue), mixed (orange) and unknown (purple). Note: IT = information technology, PHI = personal health information.
Figure 2:
Figure 2:
Four stages of cyber resilience, with suggested actions. Note: CMPA = Canadian Medical Protective Association, EMR = electronic medical record, VPN = virtual private network.
Figure 3:
Figure 3:
Anatomy of a hypothetical phishing attack.
See this image and copyright information in PMC

References

    1. How Canada Compares: Results from the Commonwealth Fund’s 2019 international Health Policy Survey of Primary Care Physicians. Ottawa: Canadian Institute for Health Information; 2020:1–78. Available: https://www.cihi.ca/sites/default/files/document/cmwf-2019-accessible-re... (accessed 2023 Oct. 29).
    1. Cohen AB, Dorsey ER, Mathews SC, et al. . A digital health industry cohort across the health continuum. NPJ Digit Med 2020;3:68. - PMC - PubMed
    1. HC3 intelligence briefing update dark web PHI marketplace: overall classification is unclassified. Washington (DC): The U.S. Department of Health & Human Services; 2019:1–13. Available: https://content.govdelivery.com/attachments/USDHSFACIR/2019/04/25/file_a... (accessed 2023 Oct. 29).
    1. The state of ransomware in healthcare 2021. Abingdon (UK): SOPHOS; 2021:1–16. Available: https://assets.sophos.com/X24WTUEQ/at/s49k3zrbsj8x9hwbm9nkhzxh/sophos-st... (accessed 2023 Oct. 29).
    1. The impact of ransomware on healthcare during COVID-19 and beyond. Traverse City (MI): Ponemon Institute; 2021. Available: https://www.censinet.com/wp-content/uploads/2021/09/Ponemon-Research-Rep... (accessed 2023 Oct. 29). Login required to access content.