Edinburgh Napier University

  Smart healthcare systems are gaining increased practicality and utility, driven by continuous advancements in artificial intelligence technologies, cloud and fog computing, and the Internet of Things (IoT). However, despite these transformative developments, challenges persist within IoT devices, encompassing computational constraints, storage limitations, and attack vulnerability. These attacks target sensitive health information, compromise data integrity, and pose obstacles to the overall resilience of the healthcare sector. To address these vulnerabilities, Network-based Intrusion Detection Systems (NIDSs) are crucial in fortifying smart healthcare networks and ensuring secure use of IoMT-based applications by mitigating security risks. Thus, this article proposes a novel Secure and Authenticated Federated Learning-based NIDS framework using Blockchain (SA-FLIDS) for fog-IoMT-enabled smart healthcare systems. Our research aims to improve data privacy and reduce communication costs. Furthermore, we also address weaknesses in decentralized learning systems, like Sybil and Model Poisoning attacks. We leverage the blockchain-based Self-Sovereign Identity (SSI) model to handle client authentication and secure communication. Additionally, we use the Trimmed Mean method to aggregate data. This helps reduce the effect of unusual or malicious inputs when creating the overall model. Our approach is evaluated on real IoT traffic datasets such as CICIoT2023 and EdgeIIoTset. It demonstrates exceptional robustness against adversarial attacks. These findings underscore the potential of our technique to improve the security of IoMT-based healthcare applications.