Certificateless Algorithm for Body Sensor Network and Remote Medical Server Units Authentication over Public Wireless Channels

Wireless sensor networks process and exchange mission-critical data relating to patients’ health status. Obviously, any leakages of the sensed data can have serious consequences which can endanger the lives of patients. As such, there is need for strong security and privacy protection of the data in storage as well as the data in transit. Over the recent past, researchers have developed numerous security protocols based on digital signatures, advanced encryption standard, digital certificates and elliptic curve cryptography among other approaches. However, previous studies have shown the existence of many security and privacy gaps that can be exploited by attackers to cause some harm in these networks. In addition, some techniques such as digital certificates have high storage and computation complexities occasioned by certificate and public key management issues. In this paper, a certificateless algorithm is developed for authenticating the body sensors and remote medical server units. Security analysis has shown that it offers data privacy, secure session key agreement, untraceability and anonymity. It can also withstand typical wireless sensor networks attacks such as impersonation, packet replay and man-in-the-middle. On the other hand, it is demonstrated to have the least execution time and bandwidth requirements

Security for networked smart healthcare systems: A systematic review

Background and Objectives Smart healthcare systems use technologies such as wearable devices, Internet of Medical Things and mobile internet technologies to dynamically access health information, connect patients to health professionals and health institutions, and to actively manage and respond intelligently to the medical ecosystem's needs. However, smart healthcare systems are affected by many challenges in their implementation and maintenance. Key among these are ensuring the security and privacy of patient health information. To address this challenge, several mitigation measures have been proposed and some have been implemented. Techniques that have been used include data encryption and biometric access. In addition, blockchain is an emerging security technology that is expected to address the security issues due to its distributed and decentralized architecture which is similar to that of smart healthcare systems. This study reviewed articles that identified security requirements and risks, proposed potential solutions, and explained the effectiveness of these solutions in addressing security problems in smart healthcare systems. Methods This review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines and was framed using the Problem, Intervention, Comparator, and Outcome (PICO) approach to investigate and analyse the concepts of interest. However, the comparator is not applicable because this review focuses on the security measures available and in this case no comparable solutions were considered since the concept of smart healthcare systems is an emerging one and there are therefore, no existing security solutions that have been used before. The search strategy involved the identification of studies from several databases including the Cumulative Index of Nursing and Allied Health Literature (CINAL), Scopus, PubMed, Web of Science, Medline, Excerpta Medical database (EMBASE), Ebscohost and the Cochrane Library for articles that focused on the security for smart healthcare systems. The selection process involved removing duplicate studies, and excluding studies after reading the titles, abstracts, and full texts. Studies whose records could not be retrieved using a predefined selection criterion for inclusion and exclusion were excluded. The remaining articles were then screened for eligibility. A data extraction form was used to capture details of the screened studies after reading the full text. Of the searched databases, only three yielded results when the search strategy was applied, i.e., Scopus, Web of science and Medline, giving a total of 1742 articles. 436 duplicate studies were removed. Of the remaining articles, 801 were excluded after reading the title, after which 342 after were excluded after reading the abstract, leaving 163, of which 4 studies could not be retrieved. 159 articles were therefore screened for eligibility after reading the full text. Of these, 14 studies were included for detailed review using the formulated research questions and the PICO framework. Each of the 14 included articles presented a description of a smart healthcare system and identified the security requirements, risks and solutions to mitigate the risks. Each article also summarized the effectiveness of the proposed security solution. Results The key security requirements reported were data confidentiality, integrity and availability of data within the system, with authorisation and authentication used to support these key security requirements. The identified security risks include loss of data confidentiality due to eavesdropping in wireless communication mediums, authentication vulnerabilities in user devices and storage servers, data fabrication and message modification attacks during transmission as well as while the data is at rest in databases and other storage devices. The proposed mitigation measures included the use of biometric accessing devices; data encryption for protecting the confidentiality and integrity of data; blockchain technology to address confidentiality, integrity, and availability of data; network slicing techniques to provide isolation of patient health data in 5G mobile systems; and multi-factor authentication when accessing IoT devices, servers, and other components of the smart healthcare systems. The effectiveness of the proposed solutions was demonstrated through their ability to provide a high level of data security in smart healthcare systems. For example, proposed encryption algorithms demonstrated better energy efficiency, and improved operational speed; reduced computational overhead, better scalability, efficiency in data processing, and better ease of deployment. Conclusion This systematic review has shown that the use of blockchain technology, biometrics (fingerprints), data encryption techniques, multifactor authentication and network slicing in the case of 5G smart healthcare systems has the potential to alleviate possible security risks in smart healthcare systems. The benefits of these solutions include a high level of security and privacy for Electronic Health Records (EHRs) systems; improved speed of data transaction without the need for a decentralized third party, enabled by the use of blockchain. However, the proposed solutions do not address data protection in cases where an intruder has already accessed the system. This may be potential avenues for further research and inquiry

Towards end-to-end security in internet of things based healthcare

Healthcare IoT systems are distinguished in that they are designed to serve human beings, which primarily raises the requirements of security, privacy, and reliability. Such systems have to provide real-time notifications and responses concerning the status of patients. Physicians, patients, and other caregivers demand a reliable system in which the results are accurate and timely, and the service is reliable and secure. To guarantee these requirements, the smart components in the system require a secure and efficient end-to-end communication method between the end-points (e.g., patients, caregivers, and medical sensors) of a healthcare IoT system. The main challenge faced by the existing security solutions is a lack of secure end-to-end communication. This thesis addresses this challenge by presenting a novel end-to-end security solution enabling end-points to securely and efficiently communicate with each other. The proposed solution meets the security requirements of a wide range of healthcare IoT systems while minimizing the overall hardware overhead of end-to-end communication. End-to-end communication is enabled by the holistic integration of the following contributions. The first contribution is the implementation of two architectures for remote monitoring of bio-signals. The first architecture is based on a low power IEEE 802.15.4 protocol known as ZigBee. It consists of a set of sensor nodes to read data from various medical sensors, process the data, and send them wirelessly over ZigBee to a server node. The second architecture implements on an IP-based wireless sensor network, using IEEE 802.11 Wireless Local Area Network (WLAN). The system consists of a IEEE 802.11 based sensor module to access bio-signals from patients and send them over to a remote server. In both architectures, the server node collects the health data from several client nodes and updates a remote database. The remote webserver accesses the database and updates the webpage in real-time, which can be accessed remotely. The second contribution is a novel secure mutual authentication scheme for Radio Frequency Identification (RFID) implant systems. The proposed scheme relies on the elliptic curve cryptography and the D-Quark lightweight hash design. The scheme consists of three main phases: (1) reader authentication and verification, (2) tag identification, and (3) tag verification. We show that among the existing public-key crypto-systems, elliptic curve is the optimal choice due to its small key size as well as its efficiency in computations. The D-Quark lightweight hash design has been tailored for resource-constrained devices. The third contribution is proposing a low-latency and secure cryptographic keys generation approach based on Electrocardiogram (ECG) features. This is performed by taking advantage of the uniqueness and randomness properties of ECG's main features comprising of PR, RR, PP, QT, and ST intervals. This approach achieves low latency due to its reliance on reference-free ECG's main features that can be acquired in a short time. The approach is called Several ECG Features (SEF)-based cryptographic key generation. The fourth contribution is devising a novel secure and efficient end-to-end security scheme for mobility enabled healthcare IoT. The proposed scheme consists of: (1) a secure and efficient end-user authentication and authorization architecture based on the certificate based Datagram Transport Layer Security (DTLS) handshake protocol, (2) a secure end-to-end communication method based on DTLS session resumption, and (3) support for robust mobility based on interconnected smart gateways in the fog layer. Finally, the fifth and the last contribution is the analysis of the performance of the state-of-the-art end-to-end security solutions in healthcare IoT systems including our end-to-end security solution. In this regard, we first identify and present the essential requirements of robust security solutions for healthcare IoT systems. We then analyze the performance of the state-of-the-art end-to-end security solutions (including our scheme) by developing a prototype healthcare IoT system

Security and blockchain convergence with internet of multimedia things : current trends, research challenges and future directions

The Internet of Multimedia Things (IoMT) orchestration enables the integration of systems, software, cloud, and smart sensors into a single platform. The IoMT deals with scalar as well as multimedia data. In these networks, sensor-embedded devices and their data face numerous challenges when it comes to security. In this paper, a comprehensive review of the existing literature for IoMT is presented in the context of security and blockchain. The latest literature on all three aspects of security, i.e., authentication, privacy, and trust is provided to explore the challenges experienced by multimedia data. The convergence of blockchain and IoMT along with multimedia-enabled blockchain platforms are discussed for emerging applications. To highlight the significance of this survey, large-scale commercial projects focused on security and blockchain for multimedia applications are reviewed. The shortcomings of these projects are explored and suggestions for further improvement are provided. Based on the aforementioned discussion, we present our own case study for healthcare industry: a theoretical framework having security and blockchain as key enablers. The case study reflects the importance of security and blockchain in multimedia applications of healthcare sector. Finally, we discuss the convergence of emerging technologies with security, blockchain and IoMT to visualize the future of tomorrow's applications. © 2020 Elsevier Lt

Security and Privacy Issues in IoT Healthcare Application for Disabled Users in Developing Economies

In this paper, we explore the security and privacy issues of Internet of Things (IoT) healthcare applications for special needs users. IoT enables health-related organizations to lift important data from diverse sources in real-time and this helps in precise decision-making. The transformation of the health sector, required enhancement and efficiency of protective systems, thereby reducing data vulnerability and hence, providing opportunities for secure patient data, particularly, for special needs patients. A quantitative method for purposive sampling technique was adopted and eighty-eight respondents provided the process of how the IoT technology was utilised. Data findings indicated that IoT monitoring devices have the detective ability for a person with special needs living alone with problems related to vital signs of diseases or disabilities. Personal patient health records are integrated into the e-health Centre via IoT technologies. For data privacy, security, and confidentiality, patients' records are kept on Personal Health Record Systems (PHRS). The research revealed suspected breaches of information due to cyber-attacks on the probability of false data errors in the PHRS, leading to special needs personal data leakage

AUTHENTICATED KEY ESTABLISHMENT PROTOCOL FOR CONSTRAINED SMART HEALTHCARE SYSTEMS BASED ON PHYSICAL UNCLONABLE FUNCTION

Smart healthcare systems are one of the critical applications of the internet of things. They benefit many categories of the population and provide significant improvement to healthcare services. Smart healthcare systems are also susceptible to many threats and exploits because they run without supervision for long periods of time and communicate via open channels. Moreover, in many implementations, healthcare sensor nodes are implanted or miniaturized and are resource-constrained. The potential risks on patients/individuals’ life from the threats necessitate that securing the connections in these systems is of utmost importance. This thesis provides a solution to secure end-to-end communications in such systems by proposing an authenticated key establishment protocol. The main objective of the protocol is to examine how physical unclonable functions could be utilized as a lightweight root of trust. The protocol’s design is based on rigid security requirements and inspired by the vulnerability of physical unclonable function to machine learning modeling attacks as well as the use of a ratchet technique. The proposed protocol verification and analysis revealed that it is a suitable candidate for resource-constrained smart healthcare systems. The proposed protocol’s design also has an impact on other important aspects such as anonymity of sensor nodes and gateway-lose scenario

Wireless body sensor networks for health-monitoring applications

This is an author-created, un-copyedited version of an article accepted for publication in Physiological Measurement. The publisher is not responsible for any errors or omissions in this version of the manuscript or any version derived from it. The Version of Record is available online at http://dx.doi.org/10.1088/0967-3334/29/11/R01

Security Issues in Healthcare Applications Using Wireless Medical Sensor Networks: A Survey

Healthcare applications are considered as promising fields for wireless sensor networks, where patients can be monitored using wireless medical sensor networks (WMSNs). Current WMSN healthcare research trends focus on patient reliable communication, patient mobility, and energy-efficient routing, as a few examples. However, deploying new technologies in healthcare applications without considering security makes patient privacy vulnerable. Moreover, the physiological data of an individual are highly sensitive. Therefore, security is a paramount requirement of healthcare applications, especially in the case of patient privacy, if the patient has an embarrassing disease. This paper discusses the security and privacy issues in healthcare application using WMSNs. We highlight some popular healthcare projects using wireless medical sensor networks, and discuss their security. Our aim is to instigate discussion on these critical issues since the success of healthcare application depends directly on patient security and privacy, for ethic as well as legal reasons. In addition, we discuss the issues with existing security mechanisms, and sketch out the important security requirements for such applications. In addition, the paper reviews existing schemes that have been recently proposed to provide security solutions in wireless healthcare scenarios. Finally, the paper ends up with a summary of open security research issues that need to be explored for future healthcare applications using WMSNs

A Survey on security threats and countermeasures in Internet of Medical Things (IoMT)

Internet of medical things (IoMT) is an emerging technology aiming to improve the patient's quality of life by enabling personalized e‐health services without limitations on time and location. Nevertheless, IoMT devices (eg, medical sensors) that constitute the key underlying elements of the IoMT edge network are vulnerable to various types of security threats and thus, they pose a significant risk to patient's privacy and safety. Based on that and the fact that the security is a critical factor for the successful integration of IoMT technology into pervasive healthcare systems, there is an urgent need for novel security mechanisms to preserve the security of the IoMT edge network. Toward this direction, the first step is the comprehensive understanding of existing and potential threats to the IoMT edge network environment. Thus, in this article, we provide a categorization of security threats to the edge network environment based on the major security objectives that they target. Moreover, we present a categorization of security countermeasures, derived from the literature, against threats to IoMT edge networks. The authors' intent is to provide a foundation for organizing research efforts toward the development of proper security countermeasures for protecting IoMT edge networks against internal and external threats