The number of diagnosed cases of coronavirus on a Princess Cruises ship quarantined off the coast of Yokohoma, Japan, has tripled to 61, according to a  report from the cruise line late Thursday.

The Japanese Ministry of Health notified Princess Cruises that an additional 41 people screened aboard the Diamond Princess have tested positive for coronavirus. Eight of those patients that have tested positive are Americans, according to the cruise line. On Wednesday, Princess Cruises confirmed 20 diagnosed cases of coronavirus on the ship, which was already under a 14-day quarantine.

Guests testing positive are expected to be transported to local hospitals immediately.

Japanese health officials confirmed the completion of onboard testing late Thursday night, according to a statement from the cruise line. The quarantine will end on Feb. 19, pending any unforeseen circumstances. 

As of Friday morning, a total of 31,523 cases of coronavirus have been confirmed across the world, and the virus has caused 638 deaths. Common signs of infection include fever, cough, shortness of breath and breathing difficulties. The virus, which originated in Wuhan, China, can be spread by coughing, sneezing and through close contact with an infected person or an object carrying the virus.

Diamond Princess:  Cruise ship to stay under quarantine after 10 more passengers test positive

“The health and safety of our guests and crew remains our top priority. We continue to work closely with the Japan Ministry of Health on all protocols and procedures while ensuring the comfort and well-being of our guests,” Princess Cruises’ Public Relations Director Negin Kamali said in the statement. 

The Japanese government is providing assistance to the crew, according to Princess Cruises.

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