Sunday, December 20, 2020

Mental Health of India’s Corona Warriors: An often overlooked aspect of the pandemic

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Raya Tripathi

Article Title

Mental Health of India’s Corona Warriors: An often overlooked aspect of the pandemic

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Global Views 360

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December 20, 2020

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Mental Health Representative Image

Mental Health Representative Image | Source: rawpixel.com via Freepik

It’s been almost a year since the Covid 19 first started spreading in Wuhan, China and spread to all parts of the world, turning into a pandemic. This has brought along with it an unusual situation for everyone around the world—people were locked up inside their homes and everything was shut. Only the doctors,  healthcare workers and other emergency service workers were working long hours, often going without proper sleep and food. Working day and night, like robots, is not natural for human beings, and therefore, has its consequences.

Mental health in India

Mental health of people is deteriorating globally, and the worst impact can be seen for the corona warriors.

Many people in India do not care about mental health and rubbish it off due to lack of awareness about the problem. They don’t consider it as a health problem just like any other illness, these are not much discussions or consultations with the experts, even when there is a clear sign of a person suffering from it. This state of affir is one of the major contributing factor for the high suicide rates in India.

The taboo associated with discussing mental health, dissuades the person who is suffering or their family members to discuss and take the help from experts as they fear that any revelation of mental health issues can tarnish their image in the society. There are still instances that people seeking professional help are labelled mentally weak or simply ‘‘mad’. Due to superstition still persisting in society, many believe mentally ill people to be 'possessed' by some evil spirit. This forces a large number of people to visit some Godmen or Exorcists to get it cured, rather than going to a professional.

This pandemic and the subsequent lockdown has exacerbated the mental stress and resulted in a spike in the instances of anxiety and depression among the population all over the world. The healthcare workers, fighting the pandemic in the frontline as Corona Warrier, are more exposed to the dangers associated with it. Although the frontline healthcare workers are now sufficiently protected from the direct impact of the virus, their deteriorating mental health still remains an unforeseen challenge.

What are the problems faced by corona warriors in India?

Healthcare workers are responding quickly and moving in vans in many places for testing the Covid patients. They are working hard to take care of everything from regular check- up to specialised testing for the ailing people. But, what about the physical and mental health of these health workers who are serving the patients with highly contagious disease, day and night, despite feeling homesick and tired.According to a report in Indian express, Dr. Kinjal Nadia, a doctor in Gujarat's Jamnagar, said, “Spending eight hours in a PPE suit is the toughest thing to do. One can’t even drink a glass of water though has to speak loudly to be heard by patients and assistants”.

There are incidents of suicide among thejunior doctors from AIIMS Delhi and RG Kar Medical College, Kolkata, which in itself describe the mental status of doctors and healthcare workers. Furthermore, around 80% of the doctors, especially younger ones, are at a very high risk of burning out due to constant pressure by the people, press and the administration to manage the extraordinary workload of testing, diagnosing, treating and curing  the patients, successfully.

In order to manage the huge influx of patients, at many places, doctors and healthcare workers are being hired temporarily, which acts as a catalyst for stress which they are already facing. This has also led to protests by the healthcare workers, including the nurses of AIIMS Patna, for making their employment permanent.

There had been a lack of PPE kits and proper protection against the virus for the healthcare professionals in many places, which increased the danger of exposing them to the virus and putting their lives in danger. There have been many incidents narrated by the doctors and the patients about dirty floors and filthy bathrooms in government hospitals of India.

A report on Firstpost mentioned about the usage of unhygienic food and dirty bed-sheets at government-run Kasturba hospital in Mumbai. An online petition against this situation had garnered over 100,000 signatures.

A news article from the New Indian Express tells that in Bengaluru, Dr. Manohar KN, with his colleagues, conducted a survey to assess the impact of COVID-19 pandemic on the mental well being of the healthcare workers. Over two thousand doctors, nurses and technical staff, aged between 20 and 65 years, participated in this survey, which was conducted in 26 states and union territories of India. This incidentally was the largest survey of its kind in the world.

The most shocking finding of the survey was that the healthcare workers were mostly in a sad mood, and the most optimistic ones (around 70%) were also becoming pessimistic. Even after wearing heavy PPE kits, masks, gloves, face shields all day long, which in itself is exhausting, they were constantly afraid of catching the virus.

Even the families of these corona warriors are worried. Many of them have succumbed to the coronavirus while saving people from it. They don’t get to meet their families while working during the pandemic, and sometimes end up never meeting again.

Are there any mental health services in India?

India, at the moment doesn’t have adequate infrastructure to diagnose and treat the people suffering with mental health issues. also there are not enough organisations or programs which can help in raising the awareness and mitigating misinformation regarding mental health issues. The availability of psychologists in India is grossly inadequate to take care of the mental health of a population of more than 130 crores.

However, the wide adoption of online meetings during the pandemic has come as a big boost to increasing the reach of online psychological counselling through video conferencing. This has enabled the patients to consult the doctors and counsellors  remotely through video links, which reduced the chances of spreading the virus. But not everyone has access to such facilities.

What is the government doing about it?

The government issued a guide in April 2020 for general medical and specialised mental health care settings to be followed during Covid 19 pandemic and also launched a helpline for mental health issues during lockdown. However, when it comes to regular mental health care, India is behind most of the countries. If a country does not even have basic health care for each and every of its citizens, how can it provide them with ‘world class' mental health services?

According to WHO, India ranks second among countries with the greatest burden of disease for mental and behavioral disorders. Most of the mental health disorders go unreported, as people never let others know about it, because in India, this becomes a matter of shame and losing their pride.

Clearly, the healthcare professionals seem tough from the outside, and fight bravely, but on the inside, they’re struggling with their own issues which need to be attended.

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February 4, 2021 5:20 PM

SolarWinds Attack and its implication for U.S. Security: Sabotage or espionage?

SolarWinds, a publicly listed Texas-based company with a value of more than $6 billion, has a very reputed customer list including multiple U.S. government agencies. The company develops softwares for businesses and agencies to help manage and monitor their networks, systems and  IT infrastructure. The company is a service provider to over 425 of the Fortune 500 companies, top 5 U.S. accounting firms, all major U.S. telecom providers, the U.S. treasury, several global universities and educational institutions, the NSA and the White House.

A set of hackers managed to sneak a malicious code into the software update of SolarWinds for a tool called “Orion”. Earlier, in 2020, the hackers had injected malware into the updates of Orion which were released between March and June of 2020. On 5th of Jan, 2021, the Federal Bureau of Investigation (FBI), Cybersecurity and Infrastructure security Agency (CISA), the Office of the director of National Intelligence (ODNI) and the National Security Agency (NSA) made an official joint statement stating, "an Advanced Persistent Threat (APT) actor, likely Russian in origin, is responsible for most or all of the recently discovered, ongoing cyber compromises of both government and non-governmental networks". U.S. government agencies like The Pentagon, National institute of Health, FBI, DHS, the Department of Energy and the Department of Veterans affairs were some significant users of Orion. In fact, in August 2020, the Department of Veterans affairs renewed its Orion license in a 2.8-million-dollar order. The Department of Veterans affairs has been heavily involved in COVID-19 relief.

The Orion hack began as early as March 2020. Over 18,000 customers had installed the compromised software which implies that these customers were vulnerable to spy operations throughout 2020. The malware inserted in the updates provided remote access of an organization’s network to the elite hackers. Since the malware was undetected for months, it gave the hackers an opportunity to obtain information from their targets. In fact, the hackers could also monitor emails and other internal communications. FireEye, the cybersecurity company who were the first to discover the breach describes the capability of the malware, from initially lying dormant up to two weeks, to hiding in plain sight by masquerading its investigation as “Orion Activity”. In 2016, Russian Military hackers used a method called “supply chain” to infect companies performing business in Ukraine with a hard-drive wiping virus called NotPetya. This attack is considered to be one of the most damaging cyber-attacks till date. The infiltration tactic used in the current hack is also identified to be similar to the “supply chain” method.

The Orion software framework contained a backdoor that communicated via HTTP to third party servers. Cybersecurity firm, FireEye has been tracking the trojanized version of Orion plug-in as SUNBURST.

FireEye Logo

FireEye described the use of SUNBURST backdoor on one of its blogs published on 13th December 2020. It stated,

“After an initial dormant period of up to two weeks, it retrieves and executes commands, called “Jobs”, that include the ability to transfer files, execute files, profile the system, reboot the machine, and disable system services. The malware masquerades its network traffic as the Orion Improvement Program (OIP) protocol and stores reconnaissance results within legitimate plugin configuration files allowing it to blend in with legitimate SolarWinds activity. The backdoor uses multiple obfuscated blocklists to identify forensic and anti-virus tools running as processes, services, and drivers.”

FireEye described the attack through the SUNBURST backdoor as “highly evasive”. Meanwhile, SolarWinds is facing a class action lawsuit filed by a stakeholder of the IT Infrastructure Management software company in the U.S. District Court for the Western District of Texas on 4th Jan 2021. The lawsuit is filed against SolarWinds’ ex-president, Kevin Thompson and chief financial officer, J. Barton Kalsu on the grounds of violating Federal Securities laws under Securities Exchange Act of 1934. The complaint states that SolarWinds Company failed to disclose that "since mid-2020, Orion monitoring products had a vulnerability that allowed hackers to compromise the server upon which the products ran". The complaint also mentioned that SolarWinds update server had a fairly weak and easily accessible password, ‘solarwinds123’.

Microsoft’s internal security research team found evidence that the same hackers had accessed some internal source code in their company’s systems. Microsoft mentioned that the attempted activities were beyond just the presence of malware SolarWinds code in their environment. Microsoft has “an open source like culture” which allows teams within Microsoft to view the source code. The company acknowledges that it is a threat model but they are downplaying the risk by saying “just viewing the source code should not cause any elevated risk”.

The Russian Hackers have also managed to breach the network of Austin City, Texas. The breach dates back to at-least mid of October 2020. The hackers have seemed to target the U.S. Treasury, Departments of Commerce and Homeland Security, The Pentagon, Cybersecurity firm FireEye, and SolarWinds. The breach of the network of the Austin city is an apparent win for Russian hackers. Theoretically, the compromise could have helped them access sensitive information in accordance with the city governance, elections, city police and by excavating deeper, the hackers can practically burrow inside energy, water and airport networks of the city.

Berserk Bear, the hacking outfit that is currently believed to be behind Austin’s breach appears to have used Austin’s network as grounds to stage larger attacks. Berserk Bear also known as BROMINE inter alia several names is believed to have been responsible for a series of breaches of significant U.S. infrastructures in the past year.

The attacks on SolarWinds, U.S. government and FireEye have been linked to another Russian group called APT29 also popularly known as Cozy Bear. Berserk Bear is allegedly a unit of Russian federal Security Service (FSB). Cozy Bear is known to be affiliated with the Russian Foreign Intelligence Service, or SVR. FSB and SVR are considered to be successors of the Committee of State Security of the Soviet-era which was widely known as the KGB.

The Austin Council seems to have been aware of the breach from October 2020. The FBI and CISA had published an initial advisory warning of “advanced persistent threat actors” (APTs) on October 9th, 2020. The advisory warned the city council of APTs targeting state and local governments. On October 22nd, a follow-up advisory was published in which both agencies accredited the breach to Berserk Bear. CISA published a heat map listing the types of organizations that were breached, scanned or targeted by Berserk Bear. The reputation of Berserk Bear of lurking fit their common pattern of espionage-oriented attacks. Sami Ruohonen, a researcher at Finnish cybersecurity firm F-Secure said that the adversaries have already been in the network for more than a couple of months before someone discovers their existence. Ruohonen also mentioned that this technique is specially preferred by APT groups because, the longer they go unnoticed, the longer they have a remote access to the network. F-Secure, in a report published in 2019, compared Berserk Bear and similar groups to the cyber equivalent of sleeper cells.

The cybersecurity experts have warned Austin city and the U.S that Berserk Bear hackers are not just involved in espionage and sabotage. They can gear up at any moment and create havoc in the United States. These Russian Hackers can cause city blackouts, disturbance in water supply and can even disrupt COVID-19 relief. Vikram Thakur, a technical director at Symantec who has tracked Berserk Bear for years quotes,  “We should be cognizant of the level of information that they have, turning on valves or closing valves, things of that sort — they have the expertise to do it.”

Kevin Thomson, the ex-CEO of SolarWinds | Source: SolarWinds Facebook

SolarWinds replaced their ex-CEO Kevin Thomson with Mr Sudhakar Ramakrishnan. Unlike his predecessor Thomson, who is an accountant by training, Ramakrishnan comes from a security background having led Pulse Secure in the recent past. The new CEO publicly stated that the company will be making 5 critical changes to put security front and center. The company also hired ex-CISA chief Chris Krebs and Facebook’s former security lead, Alex Stamos. Krebs and Stamos work as independent consultants to help the company coordinate its crisis response. Krebs told the Financial Times that it could even take years to uncover the full extent of the hack. On the brighter side, the new CEO mentioned that the company has engaged several cybersecurity experts to assist SolarWinds in its efforts to become more secure.  We can hope that, with better expertise, vision and understanding of threat and vulnerability management, the company is now headed towards a better future.

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