Health authorities in China announced Thursday that 121 more people have died of the coronavirus, with an additional 5,090 new cases confirmed, the Associated Press reports. The National Health Commission also removed about 100 fatalities reported earlier due to double-counting, leaving the death toll in China at 1,380. The total number of cases in China stands at 63,851.

News of the rising death toll comes as Royal Caribbean Cruises canceled 18 trips and shifted itineraries due to the coronavirus outbreak. According to Bloomberg, the schedule changes and axed trips will likely cut into the company's expected 2020 profits. The cruise line said it did not anticipate that its remaining Asia departures would be canceled and said coronavirus fears have spread beyond Asia. “While the early impact due to concerns about the coronavirus is mainly related to Asia, recent bookings for our broader business have also been softer,” the company said.