South Africa Pursues Electronic Health Records Amid Cybersecurity Concerns

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South Africa Pursues Electronic Health Records Amid Cybersecurity Concerns
Electronic Health RecordsNational Health InsuranceCybersecurity
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President Cyril Ramaphosa announces plans for a national electronic health record system, highlighting the need to modernize South Africa's healthcare infrastructure. While the initiative promises improved patient care and data management, recent cyberattacks on government agencies raise concerns about data security and privacy.

During his State of the Nation Address on Thursday evening, President Cyril Ramaphosa reiterated the government’s plan to develop an electronic health record system. “This year, we will proceed with the preparatory work for establishing the National Health Insurance ,” Ramaphosa said.

“This includes developing the first phase of a single electronic health record system, the preparatory work to establish the ministerial advisory committees on health technologies and healthcare benefits, and the accreditation framework for health service providers.” While the President did not elaborate on what an electronic health record system would entail, he did emphasize South Africa’s goal of modernizing its health system. “Our most immediate priority is to strengthen the health system and improve the quality of care. A vital part of this is the modernization, improvement and maintenance of existing health facilities,” he continued.Electronic health record systems are a comprehensive digital compilation of a patient’s health data, including medications, X-rays, laboratory results, and clinical notes. This allows a patient’s health data to be accessed electronically from a central database, allowing medical professionals to view records remotely. A centralized database of all South Africans’ healthcare information will be largely beneficial. However, given recent cyberattacks on government departments, it also carries substantial risk.The recent attack on the National Health Laboratory Service (NHLS) following a data breach serves as a stark reminder of the vulnerabilities associated with such systems. The group claimed it had exfiltrated 1.2 terabytes of data from the government agency, including third-party, client, and patient information. NHLS chief executive officer Prof. Koleka Mlisana said there was no evidence that patient data had been erased, saying their entire IT environment was shut down to prevent further damage. Mlisana said the NHLS organization did not communicate with the attackers after they left a message identifying themselves. Ransomware gangs often leave notes after a breach with a method to contact them to negotiate a price for a decryption key to recover your data, and so they won’t leak or sell the data they stole.

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