14 Million Patients Impacted by US Healthcare Data Breaches in 2024

CVE-2016-0099 is a privilege escalation flaw in the Windows Secondary Logon Service, which fails to properly manage request handles in memory. An attacker who can already execute code on a vulnerable Windows system triggers the flaw through the service's request handling and gains the ability to run arbitrary code as administrator, converting a low-privilege foothold into full system control. Microsoft Windows systems lacking the vendor's updates are affected; the CISA data lists the impacted product only as 'Microsoft Windows' without specific version ranges. Exploitation is confirmed in the wild: CISA added the bug to its Known Exploited Vulnerabilities catalog on 2022-03-03 with known ransomware use, and EPSS places the 30-day exploitation probability at 37.2% (98th percentile). No public proof-of-concept is cataloged in the source data.

Do: Apply Microsoft's March 2016 security updates (MS16-032) on all Windows systems, per the vendor instructions required by the CISA KEV entry, prioritizing legacy and internet-reachable hosts. On systems that cannot be patched, disable the Secondary Logon service as a mitigation (noting that 'Run as' will stop working), and hunt for local privilege-escalation and ransomware-staging activity on unpatched Windows machines.

CVE-2021-26855 is a server-side request forgery flaw (CWE-918) in Microsoft Exchange Server that allows an unauthenticated remote attacker to send specially crafted HTTP requests and have the Exchange server process them as itself, disclosing sensitive session information. When chained with sibling Exchange flaws (the 'ProxyLogon' chain), it yields authentication bypass and arbitrary file write, escalating to full remote code execution with SYSTEM-level privileges on the on-premises Exchange server. Any organization running an affected on-premises Exchange server reachable over HTTP/HTTPS (typically outbound webmail) is exposed; Exchange Online was not affected. Exploitation is confirmed in the wild at large scale: the flaw was mass-exploited beginning in early 2021 (notably by the HAFNIUM group), is on the CISA KEV with documented ransomware use, and has a maximum EPSS score of 100% (100th percentile), despite no public PoC listing.

Do: Apply the vendor's March 2021 Exchange security updates (or later cumulative updates) immediately, per the CISA required action; until patched, limit Exchange (ECP/OWA) exposure to the internet via firewall/VPN rules. Hunt for compromise: review IIS logs for unrecognized authenticated activity against FrontEnd HttpProxy endpoints, and check for malicious files or webshells under inetpub\wwwroot\aspnet_client, given the known ransomware use.

CVE-2021-31207 is a security feature bypass in Microsoft Exchange Server, classified as an unrestricted file-write issue (CWE-434) that lets an attacker bypass intended restrictions and write files of their choosing to the server. It is the final bug in the ProxyShell chain: chained with the autodiscover SSRF and PowerShell backend elevation flaws, it allows an unauthenticated attacker to reach the Exchange PowerShell API, write arbitrary files such as an ASPX webshell, and execute code with SYSTEM privileges. A successful attacker gains full control of the on-premises Exchange server, including mailbox access, stolen credentials, and a foothold for lateral movement; the bug has been used to deploy ransomware and keyloggers. On-premises deployments of Microsoft Exchange Server (2013, 2016, and 2019 per vendor advisories) are affected, while Exchange Online/cloud mailboxes are not. Exploitation is essentially certain and ongoing: the flaw is in CISA's KEV (added 2021-11-03) with known ransomware use, public ProxyShell PoC/exploit code is available, and EPSS puts the 30-day exploitation probability at 99.8%.

Do: Apply Microsoft's July 2021 security updates for Exchange Server 2013, 2016, and 2019 (or any later security/cumulative update) per vendor instructions, and restrict untrusted access to Exchange's autodiscover and PowerShell endpoints. Hunt for ASPX webshells under the Exchange FrontEnd directories and review IIS logs for autodiscover.json requests chaining PowerShell, since many servers were compromised before patching. Given known ransomware use and KEV listing, treat any server that was unpatched or internet-exposed during the exploitation window as potentially compromised.

Microsoft Exchange Server contains a server-side request forgery (SSRF, CWE-918) in the Autodiscover service that unauthenticated remote attackers can reach over HTTP. This flaw is the first stage of the widely documented 'ProxyShell' chain, in which the SSRF is combined with privilege escalation and an arbitrary file write in the Exchange PowerShell backend to achieve unauthenticated remote code execution on the server. An attacker who successfully exploits it gains the ability to run code on the Exchange server, and ransomware operators (e.g., Cuba ransomware) leveraged this chain to deploy payloads. Organizations running on-premises Microsoft Exchange Server (2013, 2016, and 2019 per the vendor's advisories) are affected; hosted Exchange Online is a separately managed cloud service. Exploitation is confirmed in the wild: CISA added the flaw to the KEV catalog on 2021-11-03 with known ransomware use, and EPSS assigns it a 100% probability of exploitation within 30 days (100th percentile).

Do: Apply Microsoft's July 2021 (or later) Exchange Server security updates, which include the ProxyShell fixes, to all on-premises servers. If patching is delayed, restrict internet access to the Autodiscover/EWS frontend endpoints and consider the URL Rewrite mitigation Microsoft published for ProxyShell. Given the KEV listing and known ransomware use, treat internet-facing, unpatched Exchange servers as potentially compromised and hunt for webshells, unusual Exchange processes, and suspicious account or mailbox activity.

PaperCut MF and PaperCut NG print management software contain an improper access control flaw (CWE-284) in the SetupCompleted class that allows an unauthenticated attacker to bypass authentication and reach internal administrative functionality. The flaw is triggered by sending crafted, unauthenticated requests to the PaperCut application's web interface, without requiring valid user credentials. A successful attacker gains the ability to execute code in the context of the SYSTEM account on the PaperCut server, typically a Windows print server, giving full control of that host. Any organization running PaperCut MF or NG is potentially affected, and exposure is highest where the server's web interface is reachable from the internet or by untrusted networks. Exploitation is confirmed in the wild: CISA added the flaw to the KEV on 2023-04-21 with known ransomware use, and EPSS rates exploitation probability at 100% within 30 days.

Do: Apply the vendor's updates as instructed (this is the required action in CISA KEV) — upgrade PaperCut MF/NG to the patched releases listed in PaperCut's security advisory rather than relying on unpatched installs. Until patched, restrict network access to the PaperCut web/admin interface so it is reachable only from trusted hosts, and check the server for signs of compromise given known ransomware use. Prioritize internet-facing PaperCut servers, which public scans show are exposed in the thousands.

Citrix NetScaler ADC and NetScaler Gateway appliances contain a buffer overflow (CWE-119) that leaks sensitive information from device memory when the appliance is configured as a Gateway (VPN virtual server, ICA Proxy, CVPN, or RDP Proxy) or as an AAA virtual server. A remote attacker who can reach such a configuration can trigger the overflow and read memory contents, harvesting sensitive data such as session tokens (a technique that enables session hijacking which can bypass multi-factor authentication). Any organization running an affected NetScaler ADC or Gateway appliance in these configurations is exposed, with appliances deployed as VPN or access gateways being the primary concern. Exploitation is confirmed in the wild: the flaw was added to CISA's KEV catalog on 2023-10-18 with known ransomware use and a 100% EPSS exploitation probability, although no public proof-of-concept is known at this time. Because tokens stolen from memory can remain valid even after patching, responders must terminate all active and persistent sessions as part of remediation.

Do: Upgrade affected appliances to the patched builds cited in Citrix's advisory, then immediately kill all active and persistent ICA/AAA sessions per the vendor instructions, since patching alone does not invalidate session tokens attackers may have already stolen. If patching is not immediately possible, discontinue use of the affected Gateway/AAA configurations as CISA directs. Given known ransomware abuse, also hunt for signs of exploitation such as logins from unexpected sources, anomalous session reuse, or suspicious mailbox changes, and reset credentials for potentially exposed accounts.