The Royal Society has a beauty pageant moment

Scientists are good at science. That does not qualify them as advisors on world affairs.

“So, Miss Royal Society, if there were three things you could change about the world, what would they be?”
 
OK, so there isn’t a Miss Royal Society (it’s proving hard enough to get the Society to elect female fellows in respectable numbers). But a report issued by the Society today reads like the answers often heard from toothsome beauties in swimsuits.
 
The report is on issues relating to global population and consumption. The Society’s first request is that “the international community must bring the 1.3 billion people living on less than $1.25 per day out of absolute poverty, and reduce the inequality that persists in the world today.” The Royal Society doesn’t want any children to go to bed hungry, you see.
 
Second, they’d like people to stop being so greedy: “The most developed and the emerging economies must stabilise and then reduce material consumption levels.”
 
Third, they want people in developing countries to stop having so many babies.
 
If it really were a beauty pageant, we’d all gape in awe at the gaffe, then share the video with our friends. We could share the 5.7MB PDF of the report, but really, that’s a lot to read when the top three recommendations are, respectively, banal, naive and reminiscent of an edict issued on behalf of the British Empire in the latter part of the 18th century.
 
The case study given for the family planning problem is Niger, where the report tells us “over a quarter of women older than 40 have given birth to 10 or more children.”  The report explains that Niger’s high fertility is not, for the most part, due to poverty, education or access to family planning. The biggest problem, the report says, is the double-barrelled shotgun of Niger’s polygamous culture, and – wait for it – its “large desired family size”.
 
Yes, they actually want all these children! In fact, the report goes on to admit that married women in Niger want an average of 8.8 children. So let’s put that first statistic another way: the majority of women in Niger have, or will have, roughly the number of children they’d like to have. That’s not a problem, surely?
 
Well, apparently it is. The Royal Society’s issue is that, from a global perspective, these women really aren’t team players: they are producing more than their fair share of humans.
 
In science circles, there’s an old joke about theoretical physicists helping out a troubled dairy farmer. It’s not actually that funny, so I’ll cut straight to the punchline where the physicists say, “first let’s assume the cow is a sphere.”  The point is that science is often ill-equipped for realities outside the lab. The Royal Society’s report is well-intentioned, and Sir John Sulston, the chair of the panel that produced it, is both an excellent scientist and by all accounts a deeply impressive human being. The problem is, scientists are good at science, and beauty pageant contestants are generally beautiful. From the evidence presented so far, these are not qualities that seem to qualify either group as advisors on world affairs.
 

A boy stands by his hut in a village near Maradi, a southern city in Niger. The country was a case study in the Royal Academy's report. Photograph: Getty Images

Michael Brooks holds a PhD in quantum physics. He writes a weekly science column for the New Statesman, and his most recent book is At the Edge of Uncertainty: 11 Discoveries Taking Science by Surprise.

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How hackers held the NHS to ransom

NHS staff found their computer screens repleaced by a padlock and a demand for money. Eerily, a junior doctor warned about such an attack days earlier. 

On Friday, doctors at Whipps Cross Hospital, east London, logged into their computers, but a strange red screen popped up. Next to a giant padlock, a message said the files on the computer had been encrypted, and would be lost forever unless $300 was sent to a Bitcoin account – a virtual currency that cannot be traced. The price doubled if the money wasn’t sent within six days. Digital clocks were counting down the time.

It was soon revealed Barts Health Trust, which runs the hospital, had been hit by ransomware, a type of malicious software that hijacks computer systems until money is paid. It was one of 48 trusts in England and 13 in Scotland affected, as well as a handful of GP practices. News reports soon broke of companies in other countries hit. It affected 200,000 victims in 150 countries, according to Europol. This included the Russian Interior Ministry, Fedex, Nissan, Vodafone and Telefonica. It is thought to be the biggest outbreak of ransomware in history.

Trusts worked all through the weekend and are now back to business as usual. But the attack revealed how easy it is to bring a hospital to its knees. Patients are rightly questioning if their medical records are safe. Others fear hackers may strike again and attack other vital systems. Defence minister Michael Fallon was forced to confirm that the Trident nuclear submarines could not be hacked.

So how did this happen? The virus, called WannaCry or WannaDecrypt0r, was an old piece of ransomware that had gained a superpower. It had been combined with a tool called EternalBlue which was developed by US National Security Agency spies and dumped on the dark web by a criminal group called Shadow Brokers. Computers become infected with ransomware when somebody clicks on a dodgy link or downloads a booby-trapped PDF, but normally another person has to be fooled for it to harm a different computer. EternalBlue meant the virus could cascade between machines within a network. It could copy itself over and over, moving from one vulnerable computer to the next, spreading like the plague. Experts cannot trace who caused it, whether a criminal gang or just one person in their bedroom hitting "send".

Like a real virus, it had to be quarantined. Trusts had to shut down computers and scan them to make sure they were bug-free. Doctors – not used to writing anything but their signature – had to go back to pen and paper. But no computers meant they couldn’t access appointments, referral letters, blood tests results or X-rays. In some hospitals computer systems controlled the phones and doors. Many declared a major incident, flagging up that they needed help. In Barts Health NHS Trust, ambulances were directed away from three A&E departments and non-urgent operations were cancelled.

The tragedy is that trusts had been warned of such an attack. Dr Krishna Chinthapalli, a junior doctor in London, wrote an eerily premonitory piece in the British Medical Journal just two days earlier telling hospitals they were vulnerable to ransomware hits. Such attacks had increased fourfold between 2015 and 2016, he said, with the money being paid to the criminals increased to $1bn, according to the FBI. NHS trusts had been hit before. A third reported a ransomware attack last year, with Imperial College London NHS Trust hit 19 times. None admitted to paying the ransom.

Hospitals had even been warned of this exact virus. It exploited a vulnerability in Microsoft Windows operating systems – but Microsoft had been tipped off about it and raised the red flag in March. It issued a patch – an update which would fix it and stop systems being breached this way. But this patch only worked for its latest operating systems. Around 5 per cent of NHS devices are still running the ancient Windows XP, the equivalent of a three-wheeled car. Microsoft said it would no longer create updates for it two years ago, rendering it obsolete.

There are many reasons why systems weren’t updated. Labour and the Lib Dems were quick to blame the attack on lack of Tory funding for the NHS. It is clear cost was an issue. Speaking on BBC Radio 4’s PM programme on Saturday, ex-chief of NHS Digital Kingsley Manning estimated it would take £100m a year to update systems and protect trusts against cyber attacks. Even if that money was granted, there is no guarantee cash-strapped trusts would ringfence it for IT; they may use it to plug holes elsewhere.

Yet even with the money to do so updating systems and applying patches in hospitals is genuinely tricky. There is no NHS-wide computer system – each trust has its own mix of software, evolved due to historical quirk. New software or machines may be coded with specific instructions to help them run. Changing the operating system could stop them working – affecting patient care. While other organisations might have time to do updates, hospital systems have to be up and running 24 hours a day, seven days a week. In small hospitals, it’s a man in a van manually updating each computer.

Some experts believe these are just excuses; that good digital hygiene kept most trusts in the UK safe. "You fix vulnerabilities in computers like you wash your hands after going to the toilet," said Professor Ross Anderson, a security engineering expert at Cambridge University. "If you don't, and patients die, excuses don't work and blame shifting must not be tolerated."

It is not known yet if any patients have died as a result of the attack, but it certainly raised fears about the safety of sensitive medical records. This particular virus got into computer files and encrypted them – turning them into gooble-de-gook and locking doctors out. Systems were breached but there have been no reports of records being extracted. Yet the scale of this attack raises fears in future the NHS could be targeted for the confidential data it holds. "If it’s vulnerable to ransomware in this way, it could be vulnerable to other attacks," said Professor Alan Woodward security expert at the University of Surrey's department of computing.

In the US, there have been examples where ransomware attacks have led to patient data being sucked out, he said. The motivation is not to embarrass people with piles or "out" women who have had an abortion, but because medical information is lucrative. It can be sold to criminals for at least $10, a price 10 times higher than can be earned by selling credit card details. Dossiers with personal identification information – known as "fullz" on the dark web – help crooks commit fraud and carry out scams. The more personal details a conman knows about you the more likely you are to fall for their hustle.

Hospital data is backed up at least hourly and three copies are kept, one offsite, so it is unlikely any medical records or significant amounts of data will have been lost – although the hack will cost the NHS millions in disruption. A British analyst, who tweets under the name Malware Tech, became an unlikely hero after accidentally finding a killswitch to stop the virus replicating. He registered a website, whose presence signalled to the virus it should stop. Yet he admits that a simple tweak of the code would create a new worm able to infect computers.

Experts warn this event could trigger a spate of copycat attacks. Hacker may turn their eyes to other public services. Dr Brian Gladman, a retired Ministry of Defence director, and ex-director of security at Nato, points out that our entire infrastructure, from the national grid, food distribution channels to the railways rely on computer systems. We now face an arms race – and criminals only have to get lucky once.

"We’re going to get more attacks and more attacks and it’s going to go on," he said. "We’ve got to pay more attention to this."

Madlen Davies is a health and science reporter at The Bureau of Investigative Journalism. She tweets @madlendavies.

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