New South Wales authorities admit now is the most concerned they have been about COVID-19 since July.
It comes after the state recorded 14 new cases of coronavirus in the past 24 hours.
Of those, 11 were locally acquired and all linked to known clusters in Sydney’s south west.
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“Nine of the new cases reported today are linked to the Lakemba GP cluster, which now has 12 cases in total,” NSW Health said.
All of those nine cases are household or other contacts of known cases, including three who attended the clinic.
Urgent contacting tracing and investigations into the source of the cluster are continuing.
Meanwhile, two of the 11 community transmission cases reported today are linked to the private clinic cluster, which now has 10 cases in total.
“One case attended the clinic, and the other is a staff member at the clinic,” NSW Health said.
While one of the new cases attended the Narellan Town Centre on Camden Valley Way on 7 October from 11.30am to 1pm.
Anyone who attended the venue during that time is being considered a “casual contact” and urged to monitor for symptoms and get tested immediately if they develop.
There have also been three new cases in returned overseas travellers, who remain in hotel quarantine.
In the past 24 hours, more than 16,021 people in NSW were swabbed for the virus.