Australia\'s first person-to-person coronavirus transmission confirmed in Sydney

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Australia's first person-to-person coronavirus transmissions confirmed in Sydney

A Sydney doctor is one of the first locally-contracted cases of coronavirus in Australia as health authorities concede they may have missed cases and brace for more.

The 53-year-old clinician and the 41-year-old sister of a 43-year-old man who was diagnosed with COVID-19 after returning from Iran are thought to be the first cases of person-to-person transmission within the country.

All previous 28 Australian cases were people who were infected while they were travelling in China, Iran or onboard the Diamond Princess cruise ship.

A third new case was also confirmed on Monday afternoon - a man who recently travelled to Iran.

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NSW Health Minister Brad Hazzard said the male healthcare professional was being treated in ICU.

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The man had not travelled overseas in the past three months, and had been working in a "clinical situation" in direct contact with patients.

NSW Chief Health Officer Dr Kerry Chant did not disclose in which hospital the healthcare professional worked, but would provide further information once NSW Health has contacted all of his close contacts.

Dr Kerry Chant conceded the confirmed case in the doctor means it is possible cases of COVID-19 have been missed.

“It’s always possible there’s a case out there we could have missed,” she said.

"Our first job is to contact staff or patients that have been in close contact with this person."

There is some conjecture as to whether these coronavirus cases are the first locally acquired.

A  communique from the COVID-19 National Incident Room Surveillance Team dated February 22 said there was evidence of "secondary transmission of COVID-19" for three people in a five-person cluster in Queensland.

The cluster of confirmed COVID-19 cases was part of a small group of nine people from mainland China that had been travelling together, the document read.

Dr Chant said health authorities in Australia remained vigilant.

“We are doing lots of testing. We have tested over 3500 people, and we continue to see high rates of testing,” she said.

She added anyone who has been to Iran should remain “particularly vigilant” of COVID-19 symptoms.

NSW Chief Health Officer Dr Kerry Chant and Health Minister Brad Hazzard on Monday afternoon.Credit:AAP

Mr Hazzard said the health department was being transparent about what they knew so far of the new cases, and the community should be “cautious and not alarmed”.

“I won’t be changing anything about what I do on a daily basis,” he said. But he advised the public to forego handshakes for "a pat on the back".

Search for contacts continues

NSW Health is also searching for the unsuspecting passengers who were seated near a woman diagnosed with the new coronavirus on a Qatar Airways flight from Doha to Sydney.

The woman in her 50s became the sixth confirmed case of COVID-19 in NSW after returning to Australia from Iran.

She arrived in Sydney on flight QR908 from Iran at 6.50pm on February 23 and started to feel ill almost immediately.

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"Anyone on that flight … should be very aware that there was someone on the flight who had the coronavirus," Mr Hazzard said at an earlier press conference on Monday.

The woman did not keep her flight ticket and her seat number is not known, NSW Chief Health Officer Kerry Chant said.

NSW Health is in contact with the airline to determine where she sat and to identify passengers who sat in the two rows in front of, and behind, her to alert them to the possibility that they may have been exposed to the coronavirus, Dr Chant said.

Those "close contacts" will be asked to self-isolate for 14 days, she said. "We will be reaching out as soon as we have [their] contact details."

Mr Hazzard said any passengers on the flight with flu-like symptoms should contact their doctor.

"If you have any doubts or thoughts that [it] may be the coronavirus, please ring ahead to your GP or ring ahead to the local emergency department so they are aware and can take the appropriate steps to keep everyone safe," he said.

On Monday morning, 80 people in NSW were waiting for coronavirus test results. The number of people assessed for the virus fluctuated daily, Mr Hazzard said.

Tasmania confirmed its first case of coronavirus on Monday afternoon in a 40-year-old man who had returned to Launceston from Iran. It takes the total number of cases diagnosed in Australia to 32.

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