China on Wednesday said it has revoked the press credentials of three reporters for the U.S. newspaper Wall Street Journal over a headline for an opinion column deemed by the government to be racist and slanderous.

The move follows a complaint over the headline, which referred to the current virus outbreak in China and called the country the “Real Sick Man of Asia."

In a statement Wednesday, foreign ministry spokesman Geng Shuang said the Feb. 3 op-ed by Bard College Professor Walter Russel Mead “smears the efforts of the Chinese government and people on fighting (the virus) epidemic.”

“The editors used such a racially discriminatory title, triggering indignation and condemnation among the Chinese people and the international community,” he said.

The statement said the expulsions came after the Journal refused demands to “make an official apology and hold the persons involved accountable."

Like most foreign media, the Wall Street Journal is unavailable within China and its website and stories are blocked by online censors.

China has in recent years refused to issue or renew credentials for foreign journalists, but this is the first time in recent memory that it has actually revoked their documents, effectively expelling them from the country.

That reflects a new hard line in foreign affairs in which China has sought to exact economic and diplomatic costs from companies and countries that don’t follow its policies over Taiwan, Hong Kong, Tibet, human rights and other sensitive issues.

President and Communist Party leader Xi Jinping has repeatedly stated that China will make no concessions when it comes to national territory, sovereignty or dignity.

In one recent case, China cut commercial ties with the U.S. National Basketball Association after an official with the Houston Rockets team tweeted support for Hong Kong pro-democracy protesters whom China has derided as separatists.

The Journal identified the three journalists as Deputy Bureau Chief Josh Chin, reporter Chao Deng — both U.S. citizens — and reporter Philip Wen, an Australian. They have been given five days to leave the country, according to Jonathan Cheng, the Journal’s China bureau chief.

Last fall, Chinese authorities declined to renew the press credentials of Beijing-based Journal reporter Chun Han Wong, a Singaporean, one month after he and another Journal reporter wrote a story detailing an Australian investigation into the alleged links of Xi's cousin to high-stakes gambling, money laundering and suspected organized crime.

"We resolutely oppose certain foreign journalists' evil intention to smear and attack China," China's foreign ministry said in a response to questions about Wong's status at that time.

Following the publication of Mead's opinion column this month, a foreign ministry spokeswoman lashed out at him, saying he should be “ashamed of your words, your arrogance, your prejudice and your ignorance."