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Why Medical Records Are Prime Targets for Cyberattacks and How to Stay Safe


Healthcare organizations have experienced a significant transformation, transitioning from paper-based records to digital systems. This change enables medical records to be accessed and updated anytime, improving coordination among hospitals, clinics, and specialists.

Despite the advantages, digital storage poses significant challenges, particularly the risk of data breaches. The vast amounts of sensitive information stored by hospitals and health insurance companies make them attractive targets for cybercriminals.

According to the HIPAA Journal, data breaches have steadily risen. In 2022, 720 incidents exposed over 500 records each, increasing to 725 breaches and 133 million compromised records in 2023. A ransomware attack on Change Healthcare in 2024 affected an estimated 100 million individuals.

Why Hackers Target Medical Records

1. Medical Data's High Value

Healthcare systems store a wealth of sensitive data, including names, social security numbers, medical histories, and insurance details. Unlike credit card numbers, which can be replaced, personal details like social security numbers are permanent, enabling long-term fraud.

Stolen data is often sold on the dark web or used for identity theft, medical fraud, or harassment. Ransomware attacks also target healthcare organizations due to their dependence on immediate system access.

2.Vulnerable Networks

Outdated or insecure networks increase the likelihood of breaches. Some healthcare providers use legacy systems due to compatibility issues or budget constraints.

The risks extend to external factors, such as unsecure devices connected by staff or third-party vendors with inadequate security. Medical devices like heart monitors and imaging systems further complicate matters by adding potential entry points for attackers.

3. Shared Medical Information

Effective patient care relies on data sharing among teams, specialists, insurers, researchers, and patients. This extensive sharing creates multiple exposure points, increasing the risk of data interception.

The urgency in medical settings can also lead to security being deprioritized in favor of quick access, further exposing sensitive information.

Although individuals cannot control healthcare systems' security, the following steps can enhance personal data protection:

  • Use a VPN: Encrypt your internet traffic to prevent unauthorized access.
  • Enable Multi-Factor Authentication (MFA): Add an extra verification step to secure sensitive accounts.
  • Keep Devices Updated: Regular updates ensure vulnerabilities are patched.
  • Avoid Reusing Passwords: Use strong, unique passwords with a password manager if needed.
  • Beware of Phishing: Don’t click on suspicious links, even if they appear urgent or legitimate.

Operation Digital Eye Reveals Cybersecurity Breach

 


It has been recently reported that a Chinese group of Advanced Persistent Threats (APTs) has carried out a sophisticated cyberespionage operation dubbed "Operation Digital Eye" against the United States.  Between the end of June and the middle of July 2030, a campaign targeting large business-to-business (B2B) IT service providers in southern Europe between late June and mid-July 2024 was reported by Aleksandar Milenkoski, Senior Threat Researcher at SentinelLabs, and Luigi Martire, Senior Malware Analyst at Tinexta Cyber. 

Several threats are targeting business-to-business IT service providers in southern Europe, according to Tinexta Cyber and SentinelLabs, both of which have been tracking these activities. As a result of assessing the malware, infrastructure, techniques used, victimology, and timing of the activities, it has been concluded that there is a high likelihood that a cyberespionage actor of the China nexus conducted these attacks. 

A group of Chinese hackers has been observed utilizing Visual Studio Code (VSCode) tunnels to maintain persistent remote access to compromised systems at large IT service providers in Southern Europe. There is no information regarding which hacker group aligned with China is behind the attacks at this time, which is complicated by the fact that many of those aligned with the East Asian nation share a multitude of toolsets and infrastructure. 

VS Code is the latest version of Microsoft's code editor that is optimized for building and debugging modern web and cloud applications that utilize modern web technologies. VS Code is a lightweight but feature-rich source code editor that runs on your desktop and is available for Windows, Mac OS X, and Linux clients. It is available on most major platforms. In addition to these built-in support technologies, it also comes with a rich ecosystem of extensions that can be used with other languages and runtimes, including JavaScript, TypeScript, and Node.js. According to companies, most breaching chains that firms observe entail using SQL injections as a first point of access for breaching systems connected to the internet, such as web applications and databases. 

To inject code into the target computer, a legitimate penetration testing tool called SQLmap was used. This tool made it possible to detect and exploit SQL injection flaws automatically. Following gaining access to the system, PHPsert was deployed, which was a PHP-based web shell that would allow them to execute commands remotely or to introduce additional payloads once they fully established access. To move laterally, the attackers used RDP and pass-the-hash attacks to migrate from one target to another, specifically using a custom version of Mimikatz ('bK2o.exe') in addition to RDP. 

Using the 'WINSW' tool, the hackers installed a portable, legitimate version of Visual Studio Code on the compromised computers ('code.exe') and set it up as a persistent Windows service to make sure it would run on every device. VSCode was configured with the tunnel parameter, enabling remote development access on the machine, and then the tunnel parameter was configured to be enabled by default. Visual Studio Code tunnels are a feature of Microsoft's Remote Development feature. 

This feature allows VSCode developers to select files on remote systems for editing and working via Visual Studio Code's remote servers. As a powerful development tool, RemoteDeveloper allows developers to run commands and access the file systems of remote devices, which makes it a viable option for developers. With the use of Microsoft Azure infrastructure for the tunnel creation and the signing of executables, trustworthy access to the network can be assured. 

"Operation Digital Eye" illustrates the concept of lateral movement using techniques linked to a single vendor or a "digital quartermaster" operating within the Chinese APT ecosystem in the form of lateral movement. During the study, the researchers discovered that the attackers used Visual Studio Code and Microsoft Azure for command-and-control (C2) to evade detection, which they considered to be a matter of good judgment. 

There has never been an observation of a suspected Chinese APT group using Visual Studio Code for C2 operations before, signalling a significant change in what China is doing about APTs. According to recent research conducted by Unit 42, it has been discovered that Stately Taurus has been abusing popular web development software Visual Studio Code in its espionage operations targeting government organizations in Southeast Asia. Defending the Chinese government from attacks by Stately Taurus, a group of advanced persistent threats (APTs) involved in cyber espionage. It seems that this threat actor relied on Microsoft's Visual Studio Code embedded reverse shell feature to gain an entry point into the target network. 

An expert in the field of security discovered this technique as recently as 2023, which is relatively new. Even though European countries and China have complex ties, there is also a great deal of cooperation, competition, and undercurrent tension in areas like trade, investment, and technology, due to the complex relationships between them. China-linked cyber espionage groups target public and private organizations across Europe sporadically to gather strategic intelligence, gain competitive advantages, as well as advance the geopolitical, economic, and technological interests of China. 

In the summer of 2024, a coordinated attack campaign dubbed Operation Digital Eye was carried out by Russian intelligence services, lasting approximately three weeks from late June to mid-July 2024. As a result of the targeted organizations' capabilities to manage data, infrastructure, and cybersecurity for a wide range of clients across various industries, they are prime targets for cyberespionage activities.

As part of Operation Digital Eye, researchers highlight how Chinese cyberespionage groups continue to pose an ongoing threat to European entities, with these actors continuing to use high-value targets as targets of espionage. Even though the campaign emphasizes the strategic nature of this threat, it is important to realize that when attackers breach organizations that provide data, infrastructure, and cybersecurity services to other industries, they gain access to the digital supply chain, allowing them to extend their influence to downstream companies. 

This exploit relies on SSH and Visual Studio Code Remote Tunnels, which were used by the attackers to execute remote commands on their compromised endpoints by using their GitHub accounts as authentication credentials and connections. By using the browser-based version of Visual Studio Code ("vscode[.]dev"), they were able to access the compromised endpoints. Despite this, it remains unclear whether the threat actors used freshly created GitHub accounts to authenticate their access to the tunnels or if they had already compromised GitHub accounts. 

In addition to mimicking, several other aspects point to a Chinese presence, including the presence of simplified Chinese comments within PHPsert, the fact that M247 provides the infrastructure for this server, and the fact that Visual Studio Code is being used as a backdoor, the last of which has been attributed to the actor who portrayed Mustang Panda. The investigation uncovered that the threat actors associated with Operation Digital Eye demonstrated a notable pattern of activity within the networks of targeted organizations. 

Their operations were predominantly aligned with conventional working hours in China, spanning from 9 a.m. to 9 p.m. CST. This consistent timing hints at a structured and deliberate approach, likely coordinated with broader operational schedules. One of the standout features of this campaign was the observed lateral movement within compromised environments. This capability was traced back to custom modifications of Mimikatz, a tool that has been leveraged in earlier cyberespionage activities. 

These tailored adjustments suggest the potential involvement of centralized entities, often referred to as digital quartermasters or shared vendors, within the ecosystem of Chinese Advanced Persistent Threats (APTs). These centralized facilitators play a pivotal role in sustaining and enhancing the effectiveness of cyberespionage campaigns. 

By providing a steady stream of updated tools and refined tactics, they ensure threat actors remain adaptable and ready to exploit vulnerabilities in new targets. Their involvement underscores the strategic sophistication and collaborative infrastructure underlying such operations, highlighting the continuous evolution of capabilities aimed at achieving espionage objectives.

Brain Cipher Ransomware Group Claims Deloitte UK Data Breach

 

Brain Cipher, a ransomware group that emerged in June 2024, has claimed responsibility for breaching Deloitte UK, alleging the exfiltration of over 1 terabyte of sensitive data from the global professional services firm. This claim has raised significant concerns about the cybersecurity defenses of one of the “Big Four” accounting firms. 

Brain Cipher’s Rising Notoriety 
 
Brain Cipher first gained attention earlier this year with its attack on Indonesia’s National Data Center, disrupting operations across more than 200 government agencies, including critical services like immigration and passport control. 

Its growing record of targeting high-profile organizations has heightened concerns over the evolving tactics of ransomware operators. 
 
Details of the Alleged Breach 

According to Brain Cipher, the breach at Deloitte UK revealed critical weaknesses in the company’s cybersecurity defenses. The group claims to have accessed and stolen more than:
  • 1 terabyte of compressed data,
  • Confidential corporate information,
  • Client records, and
  • Sensitive financial details.
Brain Cipher has promised to release detailed evidence of the breach, which reportedly includes:
  • Alleged violations of security protocols,
  • Insights into contractual agreements between Deloitte and its clients, and
  • Information about the firm’s monitoring systems and security tools.
In its statement, Brain Cipher mocked Deloitte’s cybersecurity measures, claiming, “We will show excellent (not) monitoring work and tell what tools we used and use there today.” 

Potential Implications 

If substantiated, the breach could result in:
  • The exposure of sensitive client data,
  • Confidential business information,
  • Financial records, and
  • Severe damage to Deloitte UK’s professional reputation.
Deloitte’s Response 
 
Deloitte UK has not confirmed or denied the breach. However, a company spokesperson issued a statement on December 7, 2024, downplaying the incident: 

"The allegations pertain to a single client’s external system and do not involve Deloitte’s internal network. No Deloitte systems have been impacted." The spokesperson emphasized that the company’s core infrastructure remains secure. 

Ransomware Threats Escalating 
 
Brain Cipher’s ability to target high-profile organizations demonstrates the increasing sophistication of ransomware groups. Their tactics often involve leveraging stolen data to exert pressure on victims, as seen in their apparent invitation for Deloitte representatives to negotiate via corporate email channels. 

Key Takeaways for Organizations 

This incident serves as a critical reminder for organizations to:
  • Implement advanced cybersecurity defenses,
  • Continuously monitor networks,
  • Detect potential breaches early, and
  • Stay ahead of emerging threats.
As the situation unfolds, the cybersecurity community will closely watch Brain Cipher’s next steps, particularly its promised release of evidence. For Deloitte UK and other global organizations, this incident underscores the urgent need for vigilance and robust security measures in an increasingly interconnected digital landscape.

BT Group Confirms Cyberattack by Black Basta Ransomware Group

British telecommunications giant BT Group has confirmed it was targeted by the notorious ransomware group Black Basta in a cyberattack on its Conferencing division. The breach forced BT to isolate and shut down parts of its infrastructure to limit the damage. While BT has minimized the reported impact, Black Basta claims otherwise, alleging they exfiltrated 500GB of sensitive data during the attack. The group asserts that the stolen data includes:

  • Financial records,
  • Organizational details,
  • Non-disclosure agreements,
  • Confidential files, and
  • Personal documents.
To substantiate these claims, the group has shared screenshots, folder listings, and other materials online, threatening to leak the data unless their ransom demands are met. The exact ransom amount remains undisclosed. 
  
BT’s Response 
 
In a statement to BleepingComputer, BT emphasized its swift action to contain the breach: "We identified an attempt to compromise our BT Conferencing platform. This incident was restricted to specific elements of the platform, which were rapidly taken offline and isolated. The impacted servers do not support live BT Conferencing services, which remain fully operational, and no other BT Group or customer services have been affected."

The company is actively investigating the breach and is collaborating with regulatory and law enforcement agencies to address the incident. 
  
Black Basta’s Growing Threat 
 
The FBI and CISA have identified Black Basta as a significant ransomware threat. A joint report earlier this year revealed the group has attacked over 500 organizations globally since its emergence in **2021. Their victims span 12 of the 16 critical infrastructure sectors, including the Healthcare and Public Health (HPH) sector. High-profile targets have included:
  • Hyundai Europe,
  • Capita,
  • The American Dental Association, and
  • Yellow Pages Canada.
Cybersecurity experts speculate that Black Basta originated from the disbanded Conti ransomware group, which dissolved amid geopolitical tensions stemming from the Russian invasion of Ukraine. 
  
Addressing Escalating Cyber Threats 
 
BT’s spokesperson assured the public of ongoing efforts to address the breach: "We are continuing to actively investigate all aspects of this attack and are working closely with the relevant authorities." As ransomware attacks like these continue to rise, organizations are urged to strengthen their cybersecurity defenses to safeguard critical data and operations against evolving threats. 

New Malware Campaign Attacks Manufacturing Industry


Lumma Stealer and Amaday Bot Resurface

In a recent multi-stage cyberattack, Cyble Research and Intelligence (CRIL) found an attack campaign hitting the manufacturing industry. The campaign depends upon process injection techniques aimed at delivering malicious payloads like Amaday Bot and Lumma Stealer.

Using a chain of evasive actions, the threat actor (TA) exploits diverse Windows tools and processes to escape standard security checks, which leads to persistent system control and potential data theft. 

About the campaign

CRIL found an advanced multi-level attack campaign that starts with a spear-phishing mail. The email has a link that directs to an LNK file, hidden as a PDF file. When the fake PDF is clicked, it launches a series of commands. The LNK file is hosted on a WebDAV server, making it challenging for security software to trace.

“For instance, one of the malicious links observed in the campaign was hxxp://download-695-18112-001-webdav-logicaldoc[.]cdn-serveri4732-ns.shop. The attack’s effectiveness stems from its ability to exploit the name of a legitimate cloud-based document management system (LogicalDOC), commonly used in manufacturing and engineering industries, to convince targets into opening the file,” reports the Cyber Express.

How the campaign works

After executing the LNK file, it opens ssh.exe, a genuine system utility that can escape security software checks. Via ssh.exe, a PowerShell command is activated to retrieve an extra payload via a remote server from mshta.exe. 

Threat actors use this process to avoid detection via Google’s Accelerated Mobile Pages (AMP) framework merged with a compressed URL. The retrieved payload is a malicious script containing extra hacked commands that gradually deliver the last malicious payload to the target system.

Once the LNK file is executed, it launches ssh.exe, a legitimate system utility that can bypass security software’s detection. Through ssh.exe, a PowerShell command is triggered, which fetches an additional payload from a remote server using mshta.exe. This process is designed to evade detection by using Google’s Accelerated Mobile Pages (AMP) framework combined with a shortened URL. 

The payload fetched is a script that contains additional obfuscated commands that eventually deliver the final malicious payload to the victim’s system. 

CYBLE blog says, “The final payload, which involves the deployment of both Lumma stealer and Amadey bot, highlights the TA’s intent to steal sensitive information and maintain persistent control over compromised systems. Yara and Sigma rules to detect this campaign, are available for download from the linked GitHub repository.”    

Microsoft Challenges Hackers with $10,000 AI Cybersecurity Contest

 

 
 
Microsoft has unveiled a groundbreaking cybersecurity challenge aimed at advancing the security of artificial intelligence (AI) systems. Named the “LLMail-Inject: Adaptive Prompt Injection Challenge,” the initiative invites hackers and security researchers to test their skills against a simulated AI-powered email client, LLMail. Successful participants can earn rewards of up to $10,000 for uncovering exploitable vulnerabilities. 
  
Focus on Prompt Injection Defenses 
 
The competition centers around strengthening defenses against **prompt injection attacks** in AI-enhanced systems. LLMail, the simulated email service, relies on a large language model (LLM) to interpret and respond to user commands. Hackers play the role of adversaries, attempting to bypass security measures and manipulate the LLM into executing unauthorized tasks. Participants face the challenge of creating malicious email prompts capable of deceiving the system into performing unintended actions without user consent. 
 
LLMail System Components LLMail consists of several key elements that competitors must navigate to exploit vulnerabilities:
  • A simulated email database for storing messages.
  • A retriever to fetch relevant emails based on queries.
  • An LLM responsible for processing and responding to user requests.
  • Multiple layers of defense against prompt injection attacks.
Participation and Process 
 
Individuals or teams (up to five members) can join the competition by registering with their GitHub accounts on the official website. Submissions are accepted either directly through the platform or programmatically via an API. Importantly, the challenge assumes that participants have full knowledge of the system's defenses, encouraging innovative and adaptive strategies for prompt injection. 
  
Microsoft’s Objectives 
 
The LLMail-Inject challenge aims to:
  • Identify vulnerabilities in existing prompt injection defenses.
  • Encourage the development of novel security solutions for AI-powered applications.
  • Foster collaboration between AI developers and cybersecurity experts.
This initiative is a collaborative effort by Microsoft, the Institute of Science and Technology Austria (ISTA), and ETH Zurich, combining expertise in AI, cybersecurity, and computer science to push the boundaries of AI security. 
  
Proactively Addressing AI Threats 
 
By simulating a real-world scenario, the challenge invites the global security community to uncover potential threats before they materialize in practical applications. Microsoft’s proactive approach aims to fortify AI systems against vulnerabilities, paving the way for more secure and resilient AI-powered tools.

Black Basta Ransomware: New Tactics and Growing Threats

 


The Black Basta ransomware group, an offshoot of the now-defunct Conti group, has adapted its attack strategies by integrating sophisticated social engineering techniques. Recent trends include email bombing, malicious QR codes, and credential theft, showcasing the group’s commitment to exploiting vulnerabilities in organizational defenses. 
 
The group begins its operations with email bombing—flooding a target's inbox with subscription-based messages from various mailing lists. This overload often leads victims to seek assistance, creating an opportunity for attackers to impersonate IT staff or support teams. Since August 2024, impersonation tactics have extended to platforms like Microsoft Teams, where attackers persuade victims to install legitimate remote access tools such as AnyDesk, TeamViewer, or Microsoft’s Quick Assist. Microsoft has identified the misuse of Quick Assist by threat actors labeled "Storm-1811." 
 
Malicious QR codes are another tool in the group’s arsenal. Victims are sent codes via chats, claiming to link trusted mobile devices. These QR codes redirect users to malicious websites, enabling attackers to harvest credentials. Cybersecurity experts have noted that attackers sometimes use OpenSSH clients to open reverse shells, providing deeper system access. 
  
Malware Delivery and Payload Objectives 
 
After gaining initial access, Black Basta deploys malicious payloads designed to escalate the attack. Key malware tools include:
  • Zbot (ZLoader): Credential-harvesting malware.
  • DarkGate: Multi-purpose malware for executing subsequent attacks.
These tools allow attackers to steal sensitive information, such as user credentials and VPN configurations, which they use to bypass multi-factor authentication (MFA) and infiltrate organizational systems. Black Basta’s proprietary tools further enhance its effectiveness:
  • KNOTWRAP: Executes payloads directly in memory, bypassing traditional detection methods.
  • KNOTROCK: Specialized utility for deploying ransomware.
  • PORTYARD: Facilitates secure connections with command-and-control servers.
Emerging Ransomware Trends 
 
Black Basta’s innovations align with broader trends in ransomware development. New groups, like Akira and Rhysida, are also leveraging advanced techniques. Akira, developed in Rust, uses pre-built libraries to enhance efficiency, while Rhysida employs tactics like fake software websites and SEO poisoning to spread malware. These trends highlight the growing sophistication of ransomware operations. 
 
 
Defensive Measures for Organizations 
 

The Black Basta group exemplifies the evolution of cybercrime, combining email bombing, impersonation, and advanced malware tools in hybrid attack models. To counter these threats, organizations must:
  • Regularly update security systems to address vulnerabilities.
  • Implement robust training programs to help employees identify social engineering tactics.
  • Strengthen multi-factor authentication and endpoint protection measures.
As cybercriminals continue to adapt, proactive defense and vigilance remain essential to safeguarding organizational systems from these evolving threats.