The RISKS Digest
Volume 15 Issue 13

Thursday, 14th October 1993

Forum on Risks to the Public in Computers and Related Systems

ACM Committee on Computers and Public Policy, Peter G. Neumann, moderator

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Software safety on UK national news
Jonathan Bowen
Warning labels on medication
Bob Campbell
Corrigenda: RISKs of trusting e-mail
Theodore M.P. Lee
Risk of brain-dead mailers...
Graham Toal
Draft Italian Antivirus Law
Luca Parisi
Collins autopilots have a mind of their own
Peter B Ladkin
Lufthansa in Warsaw
Peter B Ladkin
Lest you think that all is rotten in the state of aviation this week
Dr. Strangelove (was Re: auto-response missile system)
Barry Brumitt
Re: ITAR issues in PGP & Moby Crypto subpoenas
Dorothy Denning
Phil Agre
Mathematics of Markets
Mark Brader
Book on Risk Perception
Anthony E. Siegman
Re: CFP "Ethics" Workshop Cuba Feb.1994
Re: Cancer Treatment Blunder
Sean Matthews
Bear Giles
New Journal: High Integrity Systems
Russ Abbott
Info on RISKS (comp.risks)

Software safety on UK national news

Thu, 14 Oct 93 10:50:18 BST
The Wednesday 13th October 9 o'clock evening news on BBC1 TV in the UK
featured a new report from the UK HSE (Health and Safety Executive) which
includes concerns about the software in the new Sizewell B nuclear plant in
the UK. Darlington in Canada was also mentioned and Prof. David Parnas made a
brief appearance voicing his concerns on the issues in this area. The report
says the "software is of a high quality" but expresses doubts that the safety
levels claimed can be achieved.  Does any RISKS reader have a full reference
for the report?

Jonathan Bowen, Oxford University

Warning labels on medication

Bob Campbell <>
Tue, 12 Oct 93 23:18:30 -0700
A thread in was discussing warning labels on medication.
It seems that the computer systems that most pharmacies use now print the
labels that the system thinks should be placed on each prescription.  These
labels are the warnings such as "May cause drowsiness".

The risk is obvious.  But a new California law may make matters worse.
The high cost and low availability of pharmacists has led to the creation
of Pharmacy Technicians.  These positions require, at most, a junior college
certificate.  These technicians may fill prescriptions under a pharmacist's
supervision, but may not dispense medication.

Pharmacists I know will override the computer and put the stickers that
they know to be correct on.  The techs will probably not know, and the
quality of the supervision will not replace the quality of a trained

Also, how many hackers could pass up the opportunity to spread around a few
erroneous "For rectal use only" stickers on certain managers prescriptions :-)

Bob Campbell

Corrigenda: RISKs of trusting e-mail

Theodore M.P. Lee <>
Mon, 11 Oct 1993 23:40:53 -0600
It takes a tough hide to be a reporter. My note in RISKS-15.06 on the RISKs of
trusting e-mail generated a modest flurry of responses pointing out some
errors and asking for some clarifications. Since all who sent me notes could
just as well have sent them directly to RISKs, I am assuming that even though
they want parts of the record set straight they don't want to do so publicly.
Although I know my "sources" on the scene were convinced of the accuracy of
what they told me, by the time the information passed into their hands it
seems that some of it was slightly garbled, although not badly enough to
weaken the essential point of the whole incident.

(Not to detract from the seriousness of the situation, I do have to note
that none of the email pointing the following out was digitally signed or

1. The secretaries of the principal figures involved in the resignation
message did not take the *contents* of the message seriously. However, they
took its existence seriously, believing it indicated there had been a
serious compromise of the security of their office information systems. The
incident itself has "undermined the confidence" of the clients of the
University's computer systems. (This is new information which I think makes
the incident actually of more interest than the original version.)

2. The FBI was not called in and the students (three, not five) were not
expelled, but reprimanded and (temporarily, according to another source)
denied their e-mail privileges. I suspect here my sources were telling me
actions that were being contemplated but upon which a final decision had
not yet been made.

3. It was not really fair to mention the name of the mail client the
students used, since that is irrelevant and not the source of the problem:
it is the SMTP protocol and the inherent insecurity of the internet that
give the opportunity. One doesn't even need to have an e-mail program to
forge an e-mail message: telnet works just fine.

4. "PEM" stands for "Privacy Enhanced Mail." See internet RFC's 1421, 1422,
1423 and 1424; implementations for a variety of platforms are available.
(temptation to insert commercial here resisted.) PEM provides digital
signatures, authentication, and encryption.

5. "6,000" of course is not the size of the student population at the U of
W, but some could have read my note that way. The number of students, all
of whom are eligible for an e-mail account, is about 41,000. "6,000" (the
number now is actually closer to 7,000) is the number who have signed up
for it so far.

Ted Lee, Trusted Information Systems, Inc., PO Box 1718, Minnetonka, MN 55345

Risk of brain-dead mailers...

Graham Toal <>
Fri, 24 Sep 1993 16:38:11 +0000
For *years*, has been running a brain-dead X400 mailer (Are there
any other kinds of X400 mailer?) that regularly causes a flood of bounce
messages whenever anyone posts to a newsgroup that is gatewayed to a user
on their system.  The name of Brad Hicks (poor guy) must be known by just
about every poster to, for instance.

Well, this is merely annoying, but not _risky_...  so where does the risk
come in?  Look at this (short) extract from the (long) bounce message:

  From: mc/S=E-Mail_Services_Administrator/
  Date: 25 Sep 93 01:19:19 GMT

   Proper name:
     First name : Brad
     Last name  : Hicks
   X.400 O/R name attributes:
     Country    : US
     ADMD       : ATTMAIL
     PRMD       : MASTERCARD
     Org unit 1 : 0205925
   Postal address:
     Street  : nnnnn Lackland Road
     Town    : St. Louis, MO nnnnn
   Fax   : 314-275-nnnn

Isn't this fascinating?  We now know Brad's employer, home address, home
fax number, and some magic number that would no doubt be of use to someone
up to no good if they knew what it meant :-)  Anyone want to bet this info
came from internal information and not from something public
like a finger file?

Maybe Brad should have a word with ... (or change to almost any
other non-X400 system in the world that doesn't seem to have these repeated

PS I'd have mailed this to Brad but I've *never* in my life managed to mail
to anyone with an X400 address.  But hey - this *is* the standard that the
British Government tells all its organisations to adhere to.  Jeez.

  [Brad kept trying to get added to the RISKS list, but I could never get
  mail through to him reliably.  The other annoying thing about ATTMAIL
  is that I had to create a macro with a single mailing for each recipient;
  it would not accept multiple addressees.  I don't know if that is still
  the case.  (This item certainly seems timely after Phil Agre's
  contribution in RISKS-15.12.)  PGN]

Draft Italian Antivirus Law

Luca Parisi <>
Wed, 13 Oct 93 23:48:06 CET
Prompted by the message by Mr. Brunnstein in RISKS-15.11, I thought RISKS
readers might find it interesting to know that a "Computer Crime" act is
currently under review by the Italian Parliament (to the best of my knowledge,
one of its two branches has approved it).

I have enclosed a tentative translation as well as the original text of the
article related to "malicious programs". The whole act also addresses other
issues such as unauthorized entry or possession of access codes, etc.

A bit of personal comment about the wording of the article: while the Swiss
text focuses on the concept of (lack of) "authorization" in order to define
the illegal behaviour of both people and programs, there is no such "keyword"
in the Italian proposal. Moreover, the provision against "programs ... having
the effect of ... damaging a computer or ... the programs or data contained in
... it" is even more RISKy. It seems to me that, besides viruses, most of the
bugs usually found in SW could fall under this article, since the
unintentionality is not regarded as a matter of exclusion from the punishment.

Having followed the VIRUS-L forum for a while, I am perfectly aware that it is
almost impossible to draw a satisfactory border between malicious programs and
legitimate ones, but I feel that this text misses the point by more than a
bit. Comments welcome.

Luca Parisi.

--Proposed Translation--
--Disclaimer: Please note that I'm not a lawyer, so people in the legal
  field might find it inaccurate; feel free to correct it if needed--

  Article 4 of the [Proposed] computer crime act:

  [material deleted]

 "Article 615-quinquies of the Penal Code (Spreading of programs aimed
  at damaging or interrupting a computer system).

 Anyone who spreads, transmits or delivers a computer program, whether
 written by himself or by someone else, aimed at or having the effect of
 damaging a computer or telecommunication system, the programs or data
 contained in or pertaining to it, or interrupting in full or in part or
 disrupting its operation is punished with the imprisonment for a term of
 up to two years or a fine of up to It. L. 20,000,000."

--Original Text--
--Excerpt from: Camera dei Deputati - Disegno di Legge presentato dal
  Ministro di Grazia e Giustizia (Conso), recante "Modificazioni ed
  integrazioni alle norme del codice penale e del codice di procedura
  penale in materia di criminalita' informatica." - N. 2773--

 Art. 4 [omissis]

"Art. 615-quinquies. - (Diffusione di programmi diretti a danneggiare o
 interrompere un sistema informatico). - Chiunque diffonde, comunica o
 consegna un programma informatico da lui stesso o da altri redatto,
 avente per scopo o per effetto il danneggiamento di un sistema
 informatico o telematico, dei dati o dei programmi in esso contenuti o
 ad essi pertinenti, ovvero l'interruzione, totale o parziale, o
 l'alterazione del suo funzionamento, e' punito con la reclusione sino
 a due anni e con la multa sino a lire venti milioni."

Collins autopilots have a mind of their own

Dr Peter B Ladkin <>
13 Oct 93 17:26:13 BST (Wed)
Flight International, 13-19 October 1993, contains the following report:

(Guy Norris in LA): A succession of autopilot anomalies in Boeing 757s and
767s has prompted calls from the US National Transportation Safety Board
(NTSB) for corrective actions and revised operating procedures.
  In a 15 June incident at Frankfurt, Germany, a United Airlines 767-322-ER
ran off the right side of the runway at 130kt (240 km/h) during a landing
roll-out, when the rudder made an uncommanded movement 16deg-17deg to the
right, with the nosewheel about to touch down.
  The crew managed to deflect the rudder and curve left, but missed another
aircraft by less than 90m (300ft) as it [sic] returned to the runway. "Once on
the runway, the pilot reported that he regained `soft normal' rudder pedals
after pressing the autopilot disconnect button twice," says the NTSB.
  Boeing says that it is still mystified, but adds that tests have found
" evidence at all to link the autopilot with the rudder anomaly". It
adds: "We are taking it seriously and tests are continuing."
  All 757 and 767 operators will be notified of updated test results by 20
  Boeing admits that it did discover a fault which had caused anomalous
displays on the mode-control panel (MCP), but it sees no connection with the
rudder event.
  The NTSB recommends that Boeing and autopilot supplier Rockwell-Collins
address `...the uncommanded movements and errors seen in Boeing 757/767 MCP
displays and switching functions" [punctuation sic].
  It wants the US Federal Aviation Administration to issue an airworthiness
directive implementing the changes and to check on the Boeing 747-400 and
Fokker 100, which have similar autopilots.
  It also recommends that the FAA require Boeing to "...issue a temporary
Airplane Flight Manual Supplement to ensure that pilots are aware that
autopilots have engaged, disengaged and changed modes and MCP display window
setting without pilot input".

[End report]

It seems that the NTSB and Boeing are disagreeing on whether there have been
incidents of uncommanded autopilot control inputs. The Independent (newspaper)
reported the NTSB comments on the front page on October 12th. Their report is
less accurate (even misleading) in a number of respects than Flight's, but
there are some more numbers:

(from The Independent, p1, Oct 12th 1993):

[....] On checking United's records, the US National Transportation Safety
Board found that there had been 29 instances - all but one since 1985 - in
which autopilots on 757s and 767s had behaved unpredictably [meaning what?
`uncommanded control input'? pbl]. Boeing says that most of these incidents
involved faulty readings during flight which were corrected by the crew.

[....] Investigators are mystified by the faults since the autopilot is a
triple system, including two back-ups to ensure there is no failure.
[they've obviously been reading up on Byzantine disagreement - pbl]

[End quotes]

Peter Ladkin

Lufthansa in Warsaw (no, this isn't the new Philip Glass opera)

Dr Peter B Ladkin <>
13 Oct 93 20:19:37 BST (Wed)
Flight International, 13-19 October 1993, reports (no byline):

A delay between pilot selection and physical actuation of spoilers and reverse
thrust has emerged as a suspected key factor in the runway overrun on 14
September of the Lufthansa Airbus A320 at Warsaw Airport, in Poland.  [...]
The pilots were also not kept informed by the Warsaw tower of surface-wind
changes. After touching down 700m (2,300ft) from the [Runway 11] threshold
[.....] the pilots selected spoilers and reverse thrust, but there was a delay
of 9s before they deployed, according to the sources.
  Actuation of the spoilers may have been prevented by a safety system
designed to prevent their deployment in flight: automatic deployment depends
on the wheels spinning up at touchdown to a speed greater than 72kt (135
km/h), but aquaplaning may have prevented wheel spin-up.
  Reverse-thrust actuation may have been prevented by another safety system
designed to stop the operation of reverse thrust in flight [pursuant to the
Lauda Air accident conclusions]. An undercarriage microswitch isolates the
reverse-thrust actuators until the aircraft's weight is on the wheels.
  If the spoilers did not deploy, hardly any of the aircraft's weight would
have been on the wheels, a factor accentuated by the pilot's decision to add
20kt to the aircraft's indicated airspeed [they mean: to add 20kt to the
indicated airspeed designated for an approach under normal conditions, and use
this as the target airspeed for the approach] because of possible windshear on
approach [this is a normal procedure, but I rely on other sources for the 20kt
figure].  The extra speed would have provided additional lift, reducing still
further the weight on the wheels.
  Another vital point is that the Warsaw tower controller does not have a
surface-wind read-out, but relies on a voice update every 3min from the
meteorological department [!!!!!]. As a result, the crew was given a reported
surface wind of 160deg/10kt when it [sic] was a tailwind of 280deg/20kt at
touchdown [they landed on Rwy 11, which has an orientation of between 105deg
and 114deg].
  The Polish accident-investigation bureau says that it expects this week to
issue its first statement on the accident.

[End quote]

This seems to me like a failure of requirements specification.
Weight-on-wheels, and wheels-spinning, are both secondary criteria for
landing, as demonstrated categorically by the anticipated report.  May I
suggest a primary criterion?: Close proximity to ground, in a landing
configuration, with spoilers and reverse-thrust selected by the pilot.

Whether Airbus is able to maintain its reputed stance that the software is
100% correct may depend on whether they consider requirements specification
to be part of `software'.

Peter Ladkin

Lest you think that all is rotten in the state of aviation this week

Dr Peter B Ladkin <>
13 Oct 93 20:34:22 BST (Wed)
Flight International, 13-19 October, also reported that the B747-400 that
landed in the drink in Tahiti *did not* yield "evidence of a fault in the
full-authority digital engine-control systems on the General Electric CF6-80C2
[engines]." There's a lovely picture of the aluminum overcast slaking its
thirst in the ocean.

Peter Ladkin
               [Pun-itive measures are needed for pbl.  Maybe
               someone has to pound "stirling" into the briny.
               Den-mark it well, Laertkin!  Drinking in Tahiti
               in this manner is NOT a good idea.   PGN]

Dr. Strangelove (was Re: auto-response missile system)

Barry Brumitt <>
Wed, 13 Oct 93 17:24:46 EDT
Brian Kenney writes:
  The system would be triggered if automatic sensors - which Blair said may be
  subject to error - detected a disruption of key military communication links,
  as well as seismic disturbances, and flashes caused by nuclear detonations
  inside Russia.

I think it prudent at this point to remind everyone of the classic
"RISKS" movie "Dr. Strangelove — or How I Learned to Stop Worrying
and Love the Bomb." (Stanley Kubrick directs, Peter Sellers plays 3 roles.)

Roughly, a crazed US Commander sends his wing of B-52's to bomb Russia, and
then it is revealed the USSR has something like what Brian discusses above
(The Doomsday Device, I beleive). They try to recall the planes, but one has a
damaged encryption unit, so recall orders cannot easily be given.

A simple RISKY mistake (a system designed without proper safeguards) and
annihilation is made imminent. It sounds rather like a scenario which may play
itself out, should this device actually exist — which, terrifyingly, it now

This movie is a *must-see*, particularly in this RISKS context.

   [Old stuff, but this item is included for our younger readers.  PGN]

Re: ITAR issues in PGP & Moby Crypto subpoenas

Dorothy Denning <>
Wed, 13 Oct 1993 17:51:50 -0400 (EDT)
In RISKS 15.11, Larry Detweiler wrote the following about import of crypto:

    No defense article may be imported into the United States unless (a) it
    was previously exported temporarily under a license issued by the
    Office of Munitions Control; or (b) it constitutes a temporary
    import/in-transit shipment licensed under Section 123.3; or (c) its
    import is authorized by the Department of the Treasury (see 27 CFR
    parts 47, 178, and 179)."

According to the ITAR, "Permanent imports of defense articles into the United
States are regulated by the Department of the Treasury." My understanding is
that Category XIII of the munitions list, which includes encryption
technology, has been removed from the munitions import list.  Thus, as near as
I know, there are no controls on permanent imports of encryption technology.

Dorothy Denning


Phil Agre <>
Thu, 14 Oct 1993 12:35:23 -0700
I highly recommend a paper by Victoria Bellotti and Abigail Sellen of Xerox
EuroPARC entitled "Design for privacy in ubiquitous computing environments".
Bellotti and Sellen demonstrate a structured method for articulating a wide
range of privacy problems that can arise with a potentially invasive
computer-based technology.  The method is not nearly complete, since it does
not really address the larger institutional context of such systems, but it is
valuable nonetheless.  It has been published as part of the ECSCW '93

  Proceedings of the Third European Conference on Computer-Supported
  Cooperative Work - ECSCW'93. G. Michelis, C. Simone & K. Schmidt
  (eds.),Kluwer Academic Publishers, Dordrecht, The Netherlands pp 77-92.

It is also available (or at least used to be) as Xerox Cambridge EuroPARC
Technical Report EPC-93-103, 1993.

Phil Agre, UCSD

Mathematics of Markets

Thu, 14 Oct 1993 15:57:53 -0400
The October 9 issue of the weekly magazine The Economist contains an extended
article of about 20 pages on the topic of "New Frontiers of Finance: The
Mathematics of Markets", or in other words, about what computers can and can't
do in terms of predicting the behavior of stocks and currencies.  While I'm
not an expert in that field, the article appeared to me to be very well
reasoned and well balanced, and I certainly recommend it.

If you read this too late to buy the issue at a newsstand, you can also
mail-order this article alone from The Economist Newspaper Group, Inc.,
Reprints Dept., 111 W. 57th St., New York NY 10019.  The price this way is
$3.50 US (plus tax in CA/DC/IL/MA/NJ/NY/VA/Canada), the same as the cover
price of the issue.

Mark Brader, Toronto  utzoo!sq!msb,

Book on Risk Perception

"Anthony E. Siegman" <>
Tue, 12 Oct 93 14:32:32 PDT
>From the October 1993 issue of the Bulletin of the American Academy of
Arts and Sciences:

   The University of Michigan Press has released _Risk_ (paperback,
$14.95) edited by Edward J. Burger, Jr., of the Georgetown University
Medical School and Institute for Health Policy Analysis.  This volume
of essays (an expanded version of the Fall 1990 issue of _Daedalus_)
grew out of an exploration of how Americans think about risk --
especially risk to health — and how their views shape their personal
and political behavior.  It touches on such topics as theories of risk
perception, the many ways in which public views about risk have
colored government activity, the role of the civil justice system in
regulating public risk and compensating for its consequences,
management of risk in sexually transmitted diseases, the quality of
media reports on health risks, and the influences of science and
scientists on litigation and public policy.

   To order _Risk_, call (313) 764-4394.

Re: CFP "Ethics" Workshop Cuba Feb.1994

a.e.mossberg <>
9 Oct 1993 10:49:14 -0400
US Citizens who attend this may discover a hidden risk: The US State Dept
still has a ban on US citizens entering Cuba without prior approval of the
state dept, which is usually granted only to state dept employees, cubans
expatriates visiting relatives, and "approved" researchers.  Violation of the
ban could result in federal prison.

Amazingly, the ban applies solely to this small Caribbean island that is a
favored vacation spot for Canadians and Europeans.  No such ban exists for
countries we actually have military interest in, such as Somalia, Iraq, and

andrew mossberg * network manager * symbiosis corporation * miami florida usa
(305) 597-4110  *  fax: 597-4002  * editor, south florida environmental reader

Re: Cancer Treatment Blunder (Wolff, RISKS-15.09)

Sean Matthews <>
Mon, 11 Oct 93 10:13:08 +0100
> ...  That would lead to
> OVERDOSES being applied at different sites to different patients.

This is not true.  Radiation therapy is violent because it has to be.  Doctors
know that in order to (have the best chance of) curing a patient, they have to
do a certain amount of violence: too much violence and the chance that the
treatment will kill the patient goes up, but too little violence and the
chance that the cancer will kill the patient goes up.  Doctors do not do
wilful damage to their patients.

Too low a dose is just as bad as too high a dose; dying of cancer is just as
unpleasant as dying of radiation burns.


Re: Cancer Treatment Blunder (Bakin, RISKS-15.08)

Bear Giles <>
Mon, 11 Oct 1993 11:27:18 -0600
I remember a glowing _Discover_ magazine article describing how perfect the
Hubble mirror was....  The Hubble mirror was tested, but as I recall it was
*management* which balked at the necessity of building a second test jig
because of a few anomalous measurements.  (And don't forget they didn't have
access to the DoD test equipment!)

Since everyone seems to believe that testing the output of this device is so
simple, do you mind telling us how you're going to model the *human* in the
calibration?  Can you use a side of beef, or would that introduce too many
errors?  Would you need to surgically implant sensors into cadavers?  Would
the fact that they (obviously) don't have circulating blood, aren't breathing,
etc., make a difference in your measurements — a living patient is always
moving around, to some extent.

I'm not arguing that testing shouldn't be done.  I'm simply pointing
out that it involves quite a bit more effort than sticking a radiation
meter on the platform and turning on the power.

Bear Giles

New Journal Call for Papers: High Integrity Systems

Russ Abbott <>
14 Oct 1993 14:26:36 GMT
The new Oxford University Press journal "High Integrity Systems" will explore
issues related to systems that either require high integrity or exhibit it, or

 o Systems may require high integrity because failure leads to
   critical losses.  Typically these are systems that affect human safety,
   environmental stability, finance, or some aspect of the societal

 o Systems may exhibit high integrity because they have evolved
   mechanisms to survive the kinds of shocks their environments may offer.

Although redundancy, fault tolerance, and reliability are important properties
of many high integrity systems, the journal is not solely about these
features.  Its focus is broader.  Its aim is to provide an interdisciplinary
platform for the examination of mechanisms that allow systems to accomplish
their objectives in the face of both anticipated and unanticipated obstacles.
Strategies used by both computer-based and naturally occurring systems are of
interest.  Papers focusing on the design, analysis, and explication of such
mechanisms and strategies are solicited.  Analyses of the social and legal
consequences of losses of system integrity are also of interest.  Original
research, case studies, and tutorial and survey articles are all welcome.

The journal is supported by an international editorial board.  All papers are
fully refereed.  Electronic submission is encouraged.  Publication of accepted
papers within six months of submission is anticipated.

For author information contact either:

Editor: A. D. McGettrick, University of Strathclyde, Glasgow G1 1XH, UK
Associate Editor: R. J. Abbott, California State University, Los Angeles,
   CA 90032, USA, OR The Aerospace Corporation,
   PO Box 92957, Los Angeles, Ca 90009, USA

Announcements and news items are welcomed by: P. A. Bennett,
   Centre for Software Engineering Ltd., Scunthorpe, UK

Please report problems with the web pages to the maintainer