Table 1. Cyber threat analysis relevant to next generation sequencing in public health.
| Attack vector | Methods | Target NGS stage | Required access |
|---|---|---|---|
| Physical | Malicious biological material | Sample preparation | Physical |
| Hardware | Hardware implant | Sequencing | Interdiction/manufacturing |
| Firmware/operating system | Firmware replacement | Sequencing Bioinformatics |
Physical Interdiction/manufacturing Compromised PC |
| Software | Targeted infection Supply chain |
Bioinformatics | Compromised PC Local Network Remote |
| Local network | Targeted infection Supply chain Data breach |
Bioinformatics | Compromised PC Remote |
| Cloud infrastructure | Data breach | Bioinformatics | Remote |
NGS: next generation sequencing; PC: personal computer.