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At least 48 people were killed and dozens more injured when a train derailed inside a tunnel in Taiwan on Friday.
66 people had been sent to hospital, officials said, as the island faced its worst rail disaster in decades.
Taiwan's Red Cross said it was on the scene and helping to free passengers trapped in the crash.
"Our emergency services have been fully mobilized to rescue & assist the passengers & railway staff affected," Taiwanese President Tsai Ing-wen said on Twitter.
"We will continue to do everything we can to ensure their safety in the wake of this heartbreaking incident."
The train had 8 carriages and was carrying around 350 people, the fire department said, thought to include many tourists and people heading home at the start of a long holiday weekend.
The express service traveling from the capital Taipei to the country's southeast coast came off the rails while part of it was inside a tunnel after apparently hitting a truck that had slid off a road from a nearby construction site.
The official Central News Agency said the truck was suspected to have slid off the sloping road into the path of the train as its handbrake had not been engaged. The fire department showed a picture of what appeared to be the truck's wreckage next to the derailed train.
"Our train crashed into a truck," one man said in a video on Taiwan television that showed pictures of the wreckage. "The truck came falling down."
Images of the crash scene show some carriages ripped apart from the impact, while others crumpled, hindering rescuers reaching passengers.
Photos showed passengers clambering over the sides of the train to safety as rescue efforts continued at the crash site north of Hualien in eastern Taiwan.
This handout picture taken and released on April 2, 2021 by Taiwan Red Cross shows rescue team members assisting passengers after a train derailed inside a tunnel in the mountains of Hualien, eastern Taiwan.HANDOUT / AFP - Getty Images
The accident came on the first day of the four-day Tomb Sweeping Festival, an annual religious festival when people travel to their hometowns for family gatherings and to worship at the graves of their ancestors.
Taiwan is a mountainous island where most of its 24 million people are squeezed onto flatlands along the northern and western coasts. The lightly populated east is popular with tourists, many of whom arrive along the coastal railway lines to avoid treacherous mountain roads.
The railway line from Taipei down the east coast is renowned for its tunnels and route that hugs the coast just north of Hualien where the crash occurred.
Taiwan's extensive rail system has undergone substantial upgrades in recent years, particularly with the addition of a high-speed line connecting the capital Taipei with cities to the south.
The state-owned railways are generally reliable and efficient, but have had a patchy safety record over the years.
In 2018, 18 people died and 175 were injured when a train derailed in the island's northeast. In 1981, 30 were killed in a collision in its north, while a train crash in 1991 killed 30.
