Threat Bulletin 0541: cache-busting query flood against a healthcare portal platform in the Middle East

On Monday 20 March 2023 at 22:57 UTC, a cache-busting query flood targeted a healthcare portal customer in the Middle East. The attack peaked at 492.9 million requests per second and lasted 129 minutes. Traffic originated from 1814 autonomous systems in 28 countries, predominantly compromised cloud VMs.

Vector cache-busting query flood
Peak 492.9 million requests per second
Duration 129 min
Time to mitigation 0.572 s
Attack traffic reaching origin 0.036%
Legitimate traffic challenged 0.12%

Timeline

The attack was preceded by an extortion email received two days earlier. Request rates on the targeted routes exceeded their hourly baseline by a factor of 518 within 12 seconds. The risk score of participating clients crossed the challenge threshold automatically and proof-of-work difficulty rose with origin load.

What the customer saw

The customer’s status page stayed green throughout; they learned about the attack from our notification.

Recommendations

  • Enable log streaming to your SIEM for faster correlation.
  • Enable authenticated origin pulls.
  • Review allow-listed partner ranges quarterly.

6 thoughts on “Threat Bulletin 0541: cache-busting query flood against a healthcare portal platform in the Middle East”

  1. We moved from a scrubbing provider to always-on last year; time to mitigation went from minutes to basically nothing.

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