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Blockchain technologies can buttress safety of medical records, says world-renowned cybersecurity expert

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In a joint release on 20 Jul, the Ministry of Health (MOH) and Ministry of Communications and Information (MCI) said that 1.5 million SingHealth patients’ records were illegally accessed and copied by hackers, including the records of Prime Minister Lee Hsien Loong, whose records were said to have been “specifically and repeatedly” aimed at.

The announcement revealed that unusual activity was detected on one of SingHealth’s IT databases on 4 July and the activity was ceased immediately. On 10 July 2018, investigations confirmed that it was a cyberattack and MOH, SingHealth and Cyber-Security Agency were informed. It was established that data was exfiltrated from 27 June 2018 to 4 July 2018.

To try and understand more about the cyber-attack on SingHealth and how it might be possible to address the threats, TOC sought the opinion of Ralph Echemendia, a world-renowned Estonian cyber security expert, regarding the recent cybersecurity breach.

Echemendia, who is globally known by his alter ego “The Ethical Hacker”, is a computer hacking consultant and has taught major corporations and federal governments on how to better protect themselves from digital threats and security breaches.

He also assists some of the biggest names in Hollywood. His current mission is to help provide the world with a more secure digital experience through a safe-ware app under his development called Seguru.

Question: How concerned should those who had their particulars stolen be? Is there any possibility of fraud being committed with the details? According to government’s announcement, some of the details that were retrieved include name, number of identification, gender, residential address, and birth date.

Ralph Echemendia (RE): Of course they should be concerned. These data points are almost everything needed to commit fraud in a number of ways. We always tend to think that impact can only come from financial fraud, but imagine if you would if someone used this data to target individuals purely for the purpose of making their lives difficult. We must be aware that data can be used in ways we have yet seen the effects of in our daily lives.

The government revealed that the suspicious activities persisted a few days before it was discovered, and that the connection was terminated. But how much time really do cyber-criminals need to retrieve the info that they need?

RE: 24 hours is more than enough to exfiltrate that data.

It seems that the government had used a centralised server to store its database. Is there any security drawbacks in doing so and is there any better alternatives?

RE: This is the norm for most organisations. Whilst technology such as (de-centralised) blockchain exists, most [governments] have yet to implement such a model.

We understand from the current hospital staff that the IT system allows multiple logins at the same time, and also does not log users out in the event of prolonged inactivity*. What security risk(s) does it pose?

RE: Many security risks come from such policies. User logins can be hacked into and abused by allowing multiple logins. In addition, without proper logging and monitoring, such breaches can go undiscovered for days if not months.

What kind of security system can ensure the safety of sensitive data such as medical records, with only authorised personnel being allowed access but at the same time, still maintain connectivity to the Internet and not just the Intranet? 

RE: Blockchain technologies can provide such functionality. Healthcare should be the first (outside of financial) to take advantage of said technologies.

Implementing blockchain technology into a medical record would provide several “features” that strengthen security and patient safety. For one, it could provide an audit trail. A log of its use and its location (computer and physical).

Secondly, it could provide the details on who has accessed the record from where and why. If records were stolen, their use would further implicate the thieves; rendering their use outside of legitimate sources worthless.

A medical record is probably one of the most justifiable places to use this technology outside of finance where a ledger of data use is truly valuable to security.

Countries adopting blockchain technology to safeguard information

Estonia, for example, is coming out with a technology called Keyless Signature Infrastructure (KSI) for the purpose of protecting all public-sector data, according to McKinsey & Company.

KSI creates hash values, which uniquely display large amounts of data as smaller numeric values. The hash values can be used to identify records, but not rewrite the information available in the records. The hash values are then stored in a blockchain, and later disseminated across a private and discreet network of state computers. A new hash value is affixed to the chain whenever changes are made to an underlying file, which renders the information unalterable later on.

It is said that transparency of the records is almost completely guaranteed. Any external or internal tampering can be detected and even avoided as the KSI will facilitate government officials’ surveillance of any changes made within multiple databases.

Currently, the electronic health records of all citizens of Estonia are governed using the KSI technology. Estonia has expressed its aims to extend KSI to all government agencies, as well as private-sector companies in the country.

*TOC has written to Ministry of Health for their comments on the IT system but has yet to receive a reply from the ministry

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Brain implants could restore paralyzed patients’ arm movements

In a groundbreaking development, a paralyzed Swiss man tests AI-enabled technology that translates his thoughts into nervous system signals, enabling arm and hand movement through brain-computer interface and spinal implant.

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WASHINGTON, UNITED STATES — A paralyzed Swiss man has become the first person to test a new technology that reads his thoughts using AI and then transmits signals through his own nervous system to his arms, hands and fingers in order to restore movement.

The treatment, a combination of a brain-computer interface and a spinal implant, had previously allow a paraplegic patient to walk again, a breakthrough that was published in the scientific journal Nature in May.

But this is the first time it’s being used for “upper extremity function,” Onward, the Dutch company behind it, said Wednesday.

“The mobility of the arm is more complex,” surgeon Jocelyne Bloch, who carried out the implantation procedures, told AFP.

Though walking comes with its own challenges — notably balance —  “the musculature of the hand is quite fine, with many different small muscles activated at the same time for certain movements,” she said.

The patient, who wishes to remain anonymous, is a 46-year-old who lost the use of his arms after a fall. Two operations were carried out last month at the Lausanne University Hospital in Switzerland.

The first involved removing a small piece of cranial bone and inserting in its place the brain implant, which was developed by the French group CEA-Clinatec and measures a few centimeters in diameter.

In the second, surgeons placed a stimulator roughly the size of a credit card developed by Onward inside the patient’s abdomen, and connected it through electrodes to the top of his spinal column.

The brain-computer interface (BCI) records brain signals and decodes them using artificial intelligence to make sense of the patient’s intentions, acting as a “digital bridge” to send these instructions on to the spinal cord stimulator.

“It’s going well so far,” said Bloch, who co-founded Onward and is a consultant for the company. “We are able to record brain activity, and we know that the stimulation works,” she said.

“But it is too early to talk about what progress he has made. ”

Still in training

The patient is still in the training phase, teaching his brain implant to recognize the different desired movements.

The movements will then have to be practiced many times before they can become natural. The process will take a few months, according to Dr. Bloch.

Two more patients are scheduled to participate in this clinical trial, and the full results will be published later.

Spinal cord stimulation has already been used in the past to successfully move paralyzed patients’ arms, but without reading their thoughts by pairing it with a brain implant.

And brain implants have already been used so that a patient can control an exoskeleton. The Battelle research organization used a brain implant to restore movement in a patient’s arm — through a sleeve of electrodes placed on the forearm, stimulating the muscles required from above.

“Onward is unique in our focus on restoring movement in people who have paralysis by stimulating the spinal cord,” the company’s CEO Dave Marver told AFP, adding the technology could be commercialized by the end of the decade.

Brain implants were long trapped in the realm of science fiction, but the field is now rapidly growing thanks to firms like Synchron and Elon Musk’s Neuralink.

They are working on having paralyzed patients to control computers through thought, restoring for example the ability to write.

— AFP

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Meta putting AI in smart glasses, assistants and more

Mark Zuckerberg unveils AI integration in smart glasses, digital assistants at Meta’s Connect conference, aiming to revolutionize user experience.

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MENLO PARK, UNITED STATES — Meta chief Mark Zuckerberg on Wednesday said the tech giant is putting artificial intelligence into digital assistants and smart glasses as it seeks to gain lost ground in the AI race.

Zuckerberg made his announcements at the Connect developers conference at Meta’s headquarters in Silicon Valley, the company’s main annual product event.

“Advances in AI allow us to create different (applications) and personas that help us accomplish different things,” Zuckerberg said as he kicked off the gathering.

“And smart glasses are going to eventually allow us to bring all of this together into a stylish form factor that we can wear.”

Smart glasses are one of the many ways that tech companies have tried to move beyond the smartphone as a user-friendly device, but so far with little success.

The second-generation Meta Ray-Ban smart glasses made in a partnership with EssilorLuxottica will have a starting price of US$299 when they hit the market on 17 October.

The smart glasses also add the ability for users to stream what they are seeing in real time, Zuckerberg said.

“Smart glasses are the ideal form factor for you to let AI assistants see what you’re seeing and hear what you’re hearing.”

Meta also introduced 28 AI characters that people can message on WhatsApp, Messenger and Instagram with “personalities” based on celebrities including Snoop Dogg, Paris Hilton and YouTube star MrBeast.

Zuckerberg demonstrated an interaction with one such AI from the stage in a type-written chat, promising that the new bots would soon be voiced.

“This is our first effort at training a bunch of AI that are a bit more fun,” Zuckerberg said.

“But look, this is early stuff and these still have a lot of limitations, which you will see when you use them.”

The event was the first in-person edition of Connect since 2019, before the pandemic, and announcements on generative AI were widely expected.

Meta has taken a much more cautious approach than its rivals Microsoft, OpenAI and Google to push out AI products, prioritizing small steps and making its in-house models available to developers and researchers.

‘Best value’

Meta also unveiled the latest version of its Quest virtual reality headset with richer graphics, improved audio and the ability for a wearer to see what is around them without taking the gear off, a demonstration for AFP showed.

“This is going to be a big game changer and a big capacity improvement for these headsets,” Zuckerberg told developers gathered in a Meta headquarters courtyard.

Quest 3 headsets are priced starting at US$499 and will begin shipping on 10 October, according to Meta.

This is substantially cheaper than Apple’s Vision Pro, which will cost a hefty US$3,499 when it is available early next year, in the United States only.

The Quest 3 “is going to be the best value on the market for a long time to come,” said Meta Chief Technology Officer Andrew Bosworth, to laughter from the audience.

New game titles for Quest 3 included Assassin’s Creed Nexus from Ubisoft as well as a Roblox game.

“Meta is trying to bring a much-upgraded version of (mixed-reality) to the masses,” said Insider Intelligence principal analyst Yory Wurmser.

Meta chief product officer Chris Cox joked to journalists that his sister complains  that she often winds up punching furniture when using virtual reality, and that problem goes away when gear instead digitally augments the real world around a person.

“We think that mixed reality is a really big step from virtual reality, which is basically a fully occluded thing,” Cox said.

“That will help make this more useful for more people.”

— AFP

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