Essential Ransomware Prevention Controls
Preventing ransomware requires layered controls addressing common attack vectors: email, vulnerable systems, credential compromise, and lateral movement.
1. Email Security
Control: Multi-layer email filtering
- Block suspicious attachments (.exe, .scr, .com)
- URL rewriting and sandboxing
- Sender authentication (SPF, DKIM, DMARC)
- External email warnings
Why it works: Most ransomware enters via email
Implementation: Email gateway appliance or cloud service
2. Endpoint Protection
Control: EDR (Endpoint Detection and Response)
- Behavioral analysis detecting malicious activity
- Memory protection against injection attacks
- Process monitoring and blocking
- Real-time threat hunting
Alternative: Modern antivirus with advanced heuristics
Why it works: Detects ransomware before encryption starts
3. Patch Management
Control: Automated patch deployment
- Scan for missing patches monthly
- Deploy critical patches within 30 days
- Test patches on non-production before deployment
- Track patch compliance rates
Focus on:
- Operating systems (Windows, Linux)
- Applications (Office, Adobe, Java)
- Server software
- Network devices
Why it works: Ransomware exploits known vulnerabilities
4. Multifactor Authentication (MFA)
Control: Require MFA for all remote access
- VPN access
- Email access
- Admin accounts
- Cloud services
- Critical systems
Preferred methods:
- Hardware security keys (most secure)
- Microsoft Authenticator or Google Authenticator
- SMS codes (acceptable but weaker)
Why it works: Prevents credential compromise attacks
5. Access Controls
Control: Least privilege principle
- Users get minimum permissions needed
- Admin accounts for admin tasks only
- Service accounts with limited scope
- Regular access reviews and cleanup
Specific measures:
- Restrict admin rights to small group
- Use privileged access management (PAM)
- Separate admin and user accounts
- Monitor and alert on privilege escalation
Why it works: Limits attacker's ability to spread
6. Network Segmentation
Control: Isolate critical systems
- Patient/customer data networks separate
- Financial systems isolated
- Backup systems air-gapped
- Guest networks isolated
Implementation:
- VLANs separating network segments
- Firewalls enforcing rules between segments
- Access controls based on need
- Micro-segmentation for critical assets
Why it works: Stops lateral movement to critical systems
7. File Integrity Monitoring
Control: Alert when important files change
- Monitor system directories
- Watch configuration files
- Track database changes
- Alert on unusual modifications
Tools: Osquery, Wazuh, Tripwire, Carbon Black
Why it works: Detects ransomware beginning encryption
8. Disable Unnecessary Services
Control: Reduce attack surface
- Disable Remote Desktop Protocol (RDP) unless needed
- Turn off file sharing services
- Disable script execution (PowerShell, VBScript) if unneeded
- Close unnecessary network ports
Why it works: Fewer attack vectors available
9. User Training and Awareness
Control: Educate staff about ransomware risks
- Email phishing simulations
- Ransomware awareness training
- Recognition of suspicious emails
- Reporting procedures for suspicious activity
Metrics: Track phishing click rates and reporting
Why it works: Humans are most effective control
10. Monitoring and Response
Control: Detect attacks as early as possible
- Monitor for suspicious behavior
- Alert on specific attack indicators
- Rapid incident response procedures
- Threat intelligence integration
Look for:
- Large file copies to external systems
- Mass file encryption activity
- Suspicious process execution
- Lateral movement attempts
- Command-and-control communications
Why it works: Fast response stops spread
Implementation Roadmap
Quick Wins (0-3 months, Low cost)
- Enable MFA on critical accounts
- Implement basic email filtering
- Deploy endpoint antivirus
- Regular backup testing
- User awareness training
Standard Implementation (3-6 months, Moderate cost)
- EDR deployment
- Network segmentation design
- Access control review and cleanup
- Patch management program
- File integrity monitoring
Advanced Implementation (6-12 months, Higher cost)
- Privilege access management (PAM)
- Micro-segmentation
- Advanced threat hunting
- Incident response team
- Tabletop exercises
Measuring Control Effectiveness
Metrics:
- Patch compliance rate (target: >95%)
- MFA adoption rate (target: 100% for critical accounts)
- EDR deployment coverage (target: 100%)
- Average detection time (target: <15 minutes)
- Successful backup restoration rate (target: 100%)
Common Implementation Mistakes
Mistake 1: Implementing only email controls
- Email is one vector; also need endpoint and network controls
Mistake 2: Not testing defenses
- Controls should be regularly tested
- Tabletop exercises and red teams validate effectiveness
Mistake 3: Ignoring insider threats
- Access controls and monitoring should account for internal actors
- Separation of duties prevents individual from causing total damage
Mistake 4: Insufficient logging
- Need detailed logs to investigate incidents
- Logs should be kept offline to prevent deletion
Conclusion
Essential ransomware prevention controls create multiple layers of defense making successful attack unlikely. No single control is sufficient; combination of email security, endpoint protection, access controls, patch management, and user training provides comprehensive protection.
Organizations that implement these controls significantly reduce ransomware infection risk and are better positioned to detect and respond quickly if attacks do occur.

