Resilient Hospitals Handbook: Strengthening Healthcare and Public Health Resilience in Advance of a Prolonged and Widespread Power Outage

by Charles “Chuck” Manto, Earl Motzer PhD, James Terbush MD

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A number of high-impact threats to critical infrastructure can result in a regional or nationwide months-long power outage, making it unlikely for timely outside help to arrive. Hospitals are encouraged to gain the capacity to make and store enough power on-site to operate in island mode indefinitely without outside sources of power or fuel and protect on-site capabilities from threats that could impact regional commercial power systems. This handbook outlines challenges and opportunities to solve these problems so hospitals, healthcare facilities, and other resources might become more resilient. From the Second Goal of the 2015 National Space Weather Strategy:
• “Complete an all-hazards power outage response and recovery plan: —for extreme space weather event and the long-term loss of electric power and cascading effects on other critical infrastructure sectors.
• Other low-frequency, high-impact events are also capable of causing long-term power outages on a regional or national scale.
• The plan must include the Whole Community.”

From the US Defense Threat Reduction Agency
• “An electromagnetic (EM) attack (nuclear electromagnetic pulse [EMP] or non-nuclear EMP [e.g., high-power microwave, HPM]) has the potential to degrade or shut down portions of the electric power grid important to DoD.
• Restoring the commercial grid from the still functioning regions may not be possible or could take weeks or months. Significant elements of the DCI require uninterrupted power for prolonged periods to perform time-critical missions (e.g., sites hardened to MIL-STD-188-125-1).
• To ensure these continued operations, DCI sites must be able to function as a microgrid that can operate in both grid-connected and intentional island-mode (grid-isolated).

Issues in Maritime Cyber Security

Editors: Dr. Joe DiRenzo III, Dr. Nicole K. Drumhiller, Dr. Fred S. Roberts

The world relies on maritime commerce to move exceptionally large portions of goods, services, and people. Collectively this effort comprises the Maritime Transportation System or MTS. A major component of this daunting multifaceted enterprise are cyber networks, and the infrastructure they control. From the complex programs managing the loading and unloading of containers to waiting trucks, to the global navigation systems onboard vessels, to the hydraulic valves designed to protect spills into waterways that are located and controlled by cyber systems within chemical, water/wastewater, or petroleum plants, the MTS is becoming increasingly automated.

The impact of the cyber element on the international MTS is significant. Yet, with the clear advantages this brings, come vulnerabilities, and challenges. Researchers have demonstrated that it is possible to remotely take control of a vessel by spoofing its GPS. The news has reported attacks that shut down a floating oil rig by tilting it. The electronic positioning software systems on ships are vulnerable to attacks that could modify les and charts, causing potential for serious damage. The complexity of the problem of making our MTS safe from cyber attack is daunting and the need for all stakeholders in both government (at all levels) and private industry to be involved in cyber security is more significant than ever as the use of the MTS continues to grow.

While there is literature about the maritime transportation system, and about cyber security, to date there is very little literature on this converging area. This pioneering book is beneficial to a variety of audiences, as a text book in courses looking at risk analysis, national security, cyber threats, or

maritime policy; as a source of research problems ranging from the technical area to policy; and for practitioners in government and the private sector interested in a clear explanation of the array of cyber risks and potential cyber-defense issues impacting the maritime community.

About the Editors: Dr. Joe DiRenzo III is a retired Coast Guard Officer. Dr. Nicole K. Drumhiller is the Program Director of Intelligence Studies at American Military University. Dr. Fred S. Roberts is Director of the Department of Homeland Security University Center of Excellence CCICADA, based at Rutgers University.