Tibet has now confirmed its first case of the Wuhan coronavirus, Chinese health authorities said Thursday.

Tibet was previously the only region administered by the Chinese government to have avoided the virus. Now, all provinces, autonomous regions, special administrative regions (Hong Kong and Macao) and municipalities have confirmed cases.

Cases have also been confirmed in the self-governing island of Taiwan.

The spread to Tibet, a remote and mountainous region, will renew concerns about how easily the virus is transmitted, particularly when people are asymptomatic.

On Tuesday, Tibet announced the indefinite closure of all tourist attractions, state-run newspaper People’s Daily reported, citing the regional Communist Party committee.

All travelers, including tourists, entering Tibet are now required to register with authorities and be quarantined for 14 days.

There are now 7,711 confirmed cases in mainland China, with 4,586 in Hubei province, where the outbreak originated.