Heartbleed Bug

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Article Summary

Like most major vulnerabilities, this major vulnerability is well branded. It gets it's name from the heart beat function between client and server. According to Dan Kaminsky, When you are communicating with another computer, sometimes you have a pulse message that says 'yes I'm still here'. This is a heart beat. In this particular case there is the possibility to leak information from the heartbeat, so...

Key Takeaways

  • This article explains Timing in simple medical language.
  • This article explains Severity in simple medical language.
  • This article explains Session Hijacking with Heartbleed in simple medical language.
  • This article explains Explanation of the Bug in simple medical language.
Before reading

RX Patient Tools

Use these quick guides before reading the article, or return to them when you need help preparing questions for a doctor.

Start here Choose the right pathway for symptoms, reports, medicines, or urgent warning signs. Disease article roadmap Read this topic step by step: meaning, symptoms, warning signs, diagnosis, treatment, prevention, and follow-up. Treatment planner Prepare questions about treatment choices, benefits, risks, side effects, and follow-up. Family & caregiver guide Organize symptoms, reports, medicines, questions, and follow-up safely. Nutrition & diet guide Prepare food, hydration, supplement, and medicine-timing questions safely. Prevention guide Organize risk factors, protective habits, screening, and warning signs. Recovery guide Prepare a safe plan for activity, rehabilitation, warning signs, and follow-up.
Educational health guideWritten for patient understanding and clinical awareness.
Reviewed content workflowUse writer and reviewer profiles for stronger trust.
Emergency safety firstUrgent warning signs are highlighted below.
Definition

Like most major vulnerabilities, this major vulnerability is well branded. It gets it’s name from the heart beat function between client and server. According to Dan Kaminsky,

When you are communicating with another computer, sometimes you have a pulse message that says ‘yes I’m still here’. This is a heart beat. In this particular case there is the possibility to leak information from the heartbeat, so you don’t just know that someone is on the other side, you know something about them. In this case, you know too much. There’s a bleeding of information from the heartbeat.

Timing

What’s known: The vulnerability became public on April 7, 2014 after being independently discovered by Google Security and Codenomicon. The vulnerability was widely reported on April 9, 2014. The vulnerable versions have been widely used for two years.

Has this been abused in the wild?

We don’t know. Security community should deploy TLS/DTLS honeypots that entrap attackers and to alert about exploitation attempts. According to Bruce Schneier:

The real question is whether or not someone deliberately inserted this bug into OpenSSL, and has had two years of unfettered access to everything. My guess is accident, but I have no proof.” According to EFF, intelligence agencies may have been using heartbleed in November 2013(source)

Severity

According to Bruce Schneier, “Catastrophic is the right word. On the scale of 1 to 10, this is an 11.” Counterpoint also from Bruce Schneier:

If nothing really bad happens — if this turns out to be something like the Y2K bug — then we are going to face criticisms of crying wolf.”

According to Codenomicon:

There is no total of 64 kilobytes limitation to the attack, that limit applies only to a single heartbeat. Attacker can either keep reconnecting or during an active TLS connection keep requesting arbitrary number of 64 kilobyte chunks of memory content until enough secrets are revealed.

Session Hijacking with Heartbleed

Matt Sullivan published an interesting article about leveraging Heartbleed for session hijacking attacks, including a walkthrough on JIRA here.

Explanation of the Bug

This serious flaw (CVE-2014-0160) is a missing bounds check before a memcpy() call that uses non-sanitized user input as the length parameter. An attacker can trick OpenSSL into allocating a 64KB buffer, copy more bytes than is necessary into the buffer, send that buffer back, and thus leak the contents of the victim’s memory, 64KB at a time.

TheRegister’s explanation and OpenSSL Github Fix

The Fix

The patch in OpenSSL 1.0.1g is essentially a bounds check, using the correct record length in the SSL3 structure (s3->rrec) that described the incoming HeartbeatMessage.

Below is the revised code from Github

hbtype = *p++;
n2s(p, payload);
if (1 + 2 + payload + 16 > s->s3->rrec.length)
  return 0; /* silently discard per RFC 6520 sec. 4 */
pl = p;

Impact of the Vulnerability

This vulnerability allows an attacker to extract memory contents from the webserver through the vulnerability in the heartbeat. As a result an attacker may be able to access sensitive information such as the private keys used for SSL/TLS.

Active Attack

Equipped with the private key, an attacker can silently monitor and decrypt communications between the user and the web server. As a result, an attacker could view private data such as passwords, credit card data, medical records and any other sensitive data the user exchanges with the website. In addition, the attacker could impersonate the target website to deliver fake, inaccurate or malicious data to the user.

Offline Attack

Some well funded attackers gather large amounts of encrypted data and store this data in the event they can later decrypt the information. Using the Heartbleed vulnerability the attackers could decrypt this information if it was obtained when passed between a user and a vulnerable website. This means that sensitive data exchanged up to two years ago could also now be at risk for exposure to attackers. Note: sites implementing Perfect Forward Secrecy are protected against this particular attack.

Scope

1.0.1 and 1.0.2-beta releases of OpenSSL are affected including 1.0.1f and 1.0.2-beta1. Apache, which uses OpenSSL for HTTPS, is used by 66% of all websites according to netcraft.com. A study of the TLS heartbeat extension by Netcraft also identified that 17.5% of SSL sites may be vulnerable to the Heartbleed bug.

Defending against Vulnerability

What should website owners do?

Verify if you are using a vulnerable version of OpenSSL. Upgrade OpenSSL as soon as possible. OpenSSL 1.0.1g was released on April 7, 2014 (https://www.openssl.org/source/).

Reissue your security certificates for SSL/TLS

The vulnerability has been present for two years and there is no way to verify if your private key has been compromised as a result of this vulnerability. In addition, a compromised key would be used to silently monitor communications from your users and the attack would be undetectable. It is prudent to assume a breach and proactively reissue security certificates.

Implement Perfect Forward Secrecy

This additional layer of security protects encrypted data from several potential attacks by using a per session random keys.

Change passwords

If the compromised OpenSSL library had been used to protect login and password information (e.g. like in many cases using SSL for account login pages), this information should be considered compromised. That means that after the library has been upgraded all compromised passwords should be changed. The best way to do this is to inform the users that their password might have been compromised due to this vulnerability and that they should change their password, combined with system of one-time forced change of password after login.

What should users do?

Unfortunately there’s not much a user can do. If you have an account at one of the many large websites that may have been affected, you can proactively change your password just to be safe.

According to Errata Security, “The only passwords you need to change would be ones that you entered in the last couple of days. Personally, I haven’t entered any passwords over the last couple days, so I don’t need to change any passwords.”

Exploit POCs

A list of Heartbeat exploit POCs is provided here

Doctor visit helper

Prepare before seeing a doctor

A simple rural-patient checklist to help you explain symptoms clearly, ask better questions, and avoid unsafe self-treatment.

Safety note: This is not a prescription or diagnosis. For severe symptoms, pregnancy danger signs, children with serious illness, chest pain, breathing difficulty, stroke-like weakness, or major injury, seek urgent care.

Which doctor may help?

Start with a registered doctor or the nearest qualified health center.

What to tell the doctor

  • Write when the problem started and how it changed.
  • Bring old prescriptions, investigation reports, and current medicines.
  • Write allergies, pregnancy status, diabetes, kidney/liver disease, and major past illnesses.
  • Bring one family member if the patient is weak, elderly, confused, or a child.

Questions to ask

  • What is the most likely cause of my symptoms?
  • Which danger signs mean I should go to hospital quickly?
  • Which tests are necessary now, and which can wait?
  • How should I take medicines safely and what side effects should I watch for?
  • When should I come for follow-up?

Tests to discuss

  • Vital signs: temperature, pulse, blood pressure, oxygen saturation
  • Basic physical examination by a clinician
  • CBC, urine test, blood sugar, or imaging only when clinically needed

Avoid these mistakes

  • Do not use antibiotics, steroid tablets/injections, or strong painkillers without proper medical advice.
  • Do not hide pregnancy, kidney disease, ulcer, allergy, or blood thinner use.
  • Do not delay emergency care when danger signs are present.

Medicine safety and first-aid guide

This section is for patient education only. It does not replace a doctor, pharmacist, or emergency care.

Safe first steps

  • Avoid heavy lifting, sudden bending, and prolonged bed rest.
  • Use comfortable posture and gentle movement as tolerated.
  • Discuss physiotherapy, X-ray, or MRI only when clinically needed.

OTC medicine safety

  • For mild back pain, pain-relief medicine may be discussed with a doctor or pharmacist.
  • Avoid repeated painkiller use if you have kidney disease, stomach ulcer, uncontrolled blood pressure, or are taking blood thinners.

Avoid these mistakes

  • Do not start antibiotics without a proper medical decision.
  • Do not use steroid tablets or injections casually for quick relief.
  • Do not delay emergency care because of home remedies.

Get urgent help if

  • Back pain with leg weakness, numbness around private area, loss of urine/stool control, fever, cancer history, or major injury needs urgent care.
Medicine names, dose, and timing must be decided by a qualified clinician or pharmacist after checking age, pregnancy, allergy, other diseases, and current medicines.

For rural patients and family caregivers

Patient health record and symptom diary

Write your symptoms, medicines already taken, test results, and questions before visiting a doctor. This note stays on your device unless you print or copy it.

Doctor to discuss: Doctor / qualified healthcare provider
Tests to discuss with doctor
  • Basic vital signs: temperature, pulse, blood pressure, oxygen level if needed
  • Relevant blood, urine, imaging, or specialist tests only after clinical assessment
Questions to ask
  • What is the most likely cause of my symptoms?
  • Which warning signs mean I should go to emergency care?
  • Which tests are really needed now?
  • Which medicines are safe for my age, pregnancy status, allergy, kidney/liver/stomach condition, and current medicines?

Emergency warning signs such as chest pain, severe breathing difficulty, sudden weakness, confusion, severe dehydration, major injury, or loss of bladder/bowel control need urgent medical care. Do not wait for online information.

Safe pathway to proper treatment

Care roadmap for: Heartbleed Bug

Use this simple roadmap to understand the next safe steps. It is educational and does not replace examination by a doctor.

Go to emergency care if you notice:
  • Severe or rapidly worsening symptoms
  • Breathing difficulty, chest pain, fainting, confusion, severe weakness, major injury, or severe dehydration
Doctor / service to discuss: Qualified healthcare provider; specialist depends on symptoms and examination.
  1. Step 1

    Check danger signs first

    If danger signs are present, seek emergency care and do not wait for online information.

  2. Step 2

    Record the symptom story

    Write when symptoms started, severity, medicines already taken, allergies, pregnancy status, and test results.

  3. Step 3

    Visit a qualified clinician

    A doctor, nurse, or qualified healthcare provider can examine you and decide which tests or treatment are needed.

  4. Step 4

    Do only useful tests

    Do tests after clinical assessment. Avoid unnecessary tests, random antibiotics, or repeated medicines without diagnosis.

  5. Step 5

    Follow up and return early if worse

    If symptoms worsen, new warning signs appear, or treatment is not helping, return for review quickly.

Rural patient practical tips
  • Take a written symptom diary and all previous prescriptions/test reports.
  • Do not hide medicines already taken, even herbal or over-the-counter medicines.
  • Ask which warning signs mean urgent referral to hospital.

This roadmap is for education. A real diagnosis and treatment plan requires history, examination, and clinical judgment.

Internal learning pathway

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