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Last modified on Mon 28 Jun 2021 01.18 EDT When his throat first started hurting, John Brown didn’t think much of it. It was March 2020 and the 48-year-old was onboard the Voyager of the Seas, a cruise travelling through the Pacific Islands. “There were people on board that had the odd cough and splutter,” says Brown, a retired public servant living in Canberra, in Australia’s capital. He put it down to what regular cruisers refer to as “cabin cough” – the result of travelling for several days in air conditioning and close proximity to thousands of other passengers. The ship docked in Sydney Harbour on 18 March. Brown was one of 34 passengers disembarking the ship who would go on to be diagnosed with Covid-19.

New south walesUnited kingdomSydney harbourAustralian capital territoryZiyad al alyJohn brownFrank heppnerAnna polettiRaymond perrinGail matthewsDepartment of neuropathologyManchester universityVeterans affairs st louis health care systemUniversity of new south wales kirby instituteAssistant prof ziyad al alyKirby institute