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CRC Press eBooks

Securing Healthcare IoT in the Quantum Age

Asif Alif, Khondokar Fida Hasan, Jesse Laeuchli, Mohammad Jabed Morshed Chowdhury

Published Oct 3, 2025• 0 citations
Publisher

Abstract

The Internet of Things (IoT) revolutionised healthcare by enabling remote patient monitoring, improved medication adherence, and chronic disease management. However, this interconnectedness creates vulnerabilities, especially with the looming threat of quantum computing. Quantum computers hold the power to break current encryption standards, safeguarding sensitive patient data in IoT-enabled medical devices. This chapter explores the looming quantum threat to healthcare IoT security. It delves into the potential consequences of compromised encrypted data, including privacy breaches, device malfunctions, and manipulated medical records. To address these issues, the chapter introduces post-quantum cryptography (PQC) and other quantum-resistant techniques (QKD) alongside their key considerations. It analyses the resource constraints (storage, processing power) of typical healthcare IoT devices – pacemakers, monitoring tools, and telemedicine equipment – to determine suitable PQC primitives for different use cases. The chapter then discusses the challenges of implementing these techniques and explores ongoing mitigation projects worldwide.

DOI
10.1201/9781003483267-17

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The Internet of Things (IoT) revolutionised healthcare by enabling remote patient monitoring, improved medication adherence, and chronic disease management. However, this interconnectedness creates vulnerabilities, especially with the looming threat of quantum computing. Quantum computers hold the power to break current encryption standards, safeguarding sensitive patient data in IoT-enabled medical devices. This chapter explores the looming quantum threat to healthcare IoT security. It delves into the potential consequences of compromised encrypted data, including privacy breaches, device malfunctions, and manipulated medical records. To address these issues, the chapter introduces post-quantum cryptography (PQC) and other quantum-resistant techniques (QKD) alongside their key considerations. It analyses the resource constraints (storage, processing power) of typical healthcare IoT devices – pacemakers, monitoring tools, and telemedicine equipment – to determine suitable PQC primitives for different use cases. The chapter then discusses the challenges of implementing these techniques and explores ongoing mitigation projects worldwide.
The Internet of Things (IoT) has transformed healthcare, facilitating remote patient monitoring, enhanced medication adherence, and chronic disease management. However, this interconnected ecosystem faces significant vulnerabilities with the advent of quantum computing, which threatens to break existing encryption standards protecting sensitive patient data in IoT-enabled medical devices. This chapter examines the quantum threat to healthcare IoT security, highlighting the potential impacts of compromised encryption, including privacy breaches, device failures, and manipulated medical records. It introduces post-quantum cryptography (PQC) and quantum-resistant techniques like quantum key distribution (QKD), addressing their application in resource-constrained healthcare IoT devices such as pacemakers, monitoring tools, and telemedicine systems. The chapter further explores the challenges of integrating these solutions and reviews global efforts in mitigating quantum risks, offering insights into suitable PQC primitives for various healthcare use cases.
The Internet of Things (IoT) has revolutionized the way devices communicate and interact, enabling seamless integration into various aspects of daily life by billions of connected devices equipped with small, embedded controllers that monitor and manage our increasingly interconnected world. The swift growth of IoT devices has led to significant concerns about data security and privacy. Traditional cryptographic algorithms, usually lightweight cryptography, are effective against classical computing threats. However, they are vulnerable to attacks from emerging quantum computing technologies, which can quickly solve the mathematically hard problems used in classical cryptography. Post-Quantum Cryptography (PQC) offers promising solution by providing cryptographic primitives resistant to quantum attacks. This chapter addresses challenges posed by resource constrained IoT devices, like limited processing power and memory. It also explores the integration of PQC algorithms suitable for IoT environments, considering factors like computational efficiency and resistance to quantum attacks.
The rapid advancement of quantum computing poses a significant threat to current cryptographic standards, particularly those securing electronic health records (EHRs) in healthcare systems.Traditional encryption methods such as RSA, ECC, and AES, while robust against classical attacks, are vulnerable to quantum algorithms like Shor's and Grover's, which can efficiently break cryptographic keys and compromise patient data integrity.As healthcare systems become increasingly interconnected through the Internet of Things (IoT) and cloud-based infrastructures, the need for quantum-resistant security mechanisms becomes paramount.Post-Quantum Cryptography (PQC) emerges as a viable solution to future-proof EHR security by employing lattice-based, hash-based, code-based, and multivariate polynomial cryptographic techniques that remain resistant to quantum attacks.This paper explores the implications of quantum computing on healthcare cybersecurity, emphasizing the vulnerabilities of existing encryption protocols and the necessity of transitioning toward PQC frameworks.Furthermore, we examine the integration of PQC within healthcare infrastructures, focusing on key exchange mechanisms, digital signatures, and end-to-end encryption for secure EHR transactions.Additionally, the study highlights regulatory and compliance considerations, including the National Institute of Standards and Technology (NIST) PQC standardization efforts and the role of Zero Trust security models in mitigating quantum-era cyber risks.Case studies illustrate successful implementations of PQC in healthcare networks, demonstrating its feasibility and effectiveness in safeguarding sensitive medical information.By adopting quantum-resistant cryptographic standards, healthcare institutions can proactively defend against emerging cyber threats, ensuring data confidentiality, integrity, and long-term resilience in the face of quantum computing advancements.
With the swift development of healthcare digitization we have access to an exponentially growing amount of extremely sensitive patient data that requires advanced security. However, now with the advent of quantum computing we are faced with a very real risk of exposing medical data in ways we never thought possible through traditional encryption. In this chapter, we will discuss the critical need for quantum-safe encryption to protect against quantum-based attacks on electronic health records, telemedicine communications, and IoT-enabled medical devices. We will review existing cryptography standards (i.e. RSA, ECC) in a post-quantum world, and consider new quantum-resistant algorithms like lattice-based, hash-based, and multivariate algorithms outlined in NIST's Post-Quantum Cryptography (PQC) standardization program. We will also highlight how quantum secure encryption will revolutionize the security of healthcare data in terms of data integrity, privacy protection, and secure communications.
In recent years, quantum computing has made significant contributions to many emerging technologies. However, it also poses serious security challenges to these technologies, and one of them is Healthcare Internet of Things (HC-IoT) applications. The devices used in HC-IoT often have limited power, memory, and computational resources, making them especially vulnerable to various cyberattacks. Even a small security breach could cause serious problems, from general system failures to risks that directly affect patients’ diagnoses and treatment. To address this important issue, we review research from 2017 to 2025, examining both the strengths and weaknesses of the technology across various subdomains of the healthcare system. We begin by presenting a taxonomy of healthcare, along with a breakdown of different domains where this technology has been applied or holds potential for future use. This foundation helps establish the motivation and context for the study. Next, we discuss various security threats, considering both the pre-quantum and post-quantum computing eras. Then, we explore existing studies to see what progress has been made and what is still needed. Finally, we point out key security challenges that need more attention from the research community. Lastly, we provide a comparative analysis with existing review articles to address the question of why this article is needed in the presence of published reviews.
The Internet of Things (IoT) has grown rapidly, transforming various aspects of daily life into intelligent systems capable of collecting and exchanging data in real time. At the same time, advances in quantum computing have given rise to powerful quantum computers capable of processing complex tasks at unprecedented speed. This disparity between the limited resources of IoT devices and the capabilities of quantum computers poses significant security challenges. Quantum computers introduce new vulnerabilities that threaten IoT systems, particularly in critical applications such as connected healthcare, industrial networks, smart infrastructure, and secure embedded systems. This study reviews the existing literature on post-quantum cryptography (PQC) applied to IoT devices. It analyzes the characteristics and security requirements of IoT environments, current security technologies, and unresolved issues. It highlights the growing threat of post-quantum attacks and the need to adapt security strategies. Finally, the study explores post-quantum code-based cryptosystems as solutions to enhance the security of resource-constrained IoT applications and ensure their resilience against future challenges.