Enabling Privacy-Assured Fog-Based Data Aggregation in E-Healthcare Systems

Wearable body area network is a key component of the modern-day e-healthcare system (e.g., telemedicine), particularly as the number and types of wearable medical monitoring systems increase. The importance of such systems is reinforced in the current COVID-19 pandemic. In addition to the need for a secure collection of medical data, there is also a need to process data in real-time. In this article, we design an improved symmetric homomorphic cryptosystem and a fog-based communication architecture to support delay- or time-sensitive monitoring and other-related applications. Specifically, medical data can be analyzed at the fog servers in a secure manner. This will facilitate decision making, for example, allowing relevant stakeholders to detect and respond to emergency situations, based on real-time data analysis. We present two attack games to demonstrate that our approach is secure (i.e., chosen-plaintext attack resilience under the computational Diffie-Hellman assumption), and evaluate the complexity of its computations. A comparative summary of its performance and three other related approaches suggests that our approach enables privacy-assured medical data aggregation, and the simulation experiments using Microsoft Azure further demonstrate the utility of our scheme.