The DBD::mysql module through 4.043 for Perl uses the mysql_ssl=1 setting to mean that SSL is optional (even though this setting's documentation has a "your communication with the server will be encrypted" statement), which allows man-in-the-middle attackers to spoof servers via a cleartext-downgrade attack, a related issue to CVE-2015-3152.
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– Scott Cheney, Manager of Information Security, Sierra View Medical Center