Cyberattack on the National Health Laboratory Service of South Africa – implications, response and recommendations

Authors

  • S Cassim Division of Haematology, Department of Pathology, Faculty of Medicine and Health Sciences, Stellenbosch University and National Health Laboratory Service, Tygerberg Hospital, Cape Town, South Africa
  • Z C Chapanduka Division of Haematology, Department of Pathology, Faculty of Medicine and Health Sciences, Stellenbosch University and National Health Laboratory Service, Tygerberg Hospital, Cape Town, South Africa https://orcid.org/0000-0002-5489-8392

DOI:

https://doi.org/10.7196/SAMJ.2024.v114i12.2549

Keywords:

Cyberattack, NHLS, medical laboratory

Abstract

Cybersecurity is now an integral consideration in the management of healthcare institutions in this modern technological era. Cyberattacks primarily targeting healthcare institutions have increased exponentially. Recently, the information technology systems of the National Health Laboratory Service (NHLS) of South Africa (SA) were targeted by cyberterrorists using disruptive ransomware. As a result, all files on the affected computers and servers became inaccessible, thus affecting all NHLS operations. We share our experience of this cyberattack from the department of haematological pathology at Tygerberg Hospital, Cape Town, SA. We outline the negative impact on the NHLS and the immediate response, and make future recommendations, including a draft of a business continuity plan.

Author Biographies

  • S Cassim, Division of Haematology, Department of Pathology, Faculty of Medicine and Health Sciences, Stellenbosch University and National Health Laboratory Service, Tygerberg Hospital, Cape Town, South Africa

    Haematopathologist at Division of Haematology, Department of Pathology, Faculty of Medicine and Health Sciences, Stellenbosch University and National Health Laboratory Service, Tygerberg Hospital, Cape Town, South Africa.

  • Z C Chapanduka, Division of Haematology, Department of Pathology, Faculty of Medicine and Health Sciences, Stellenbosch University and National Health Laboratory Service, Tygerberg Hospital, Cape Town, South Africa

    Head of Haematological Pathology at Division of Haematology, Department of Pathology, Faculty of Medicine and Health Sciences, Stellenbosch University and National Health Laboratory Service, Tygerberg Hospital, Cape Town, South Africa.

References

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Published

2024-11-29

Issue

Section

In Practice

How to Cite

1.
Cassim S, Chapanduka ZC. Cyberattack on the National Health Laboratory Service of South Africa – implications, response and recommendations. S Afr Med J [Internet]. 2024 Nov. 29 [cited 2026 Apr. 19];114(12):e2549. Available from: https://www.samajournals.co.za/index.php/samj/article/view/2549