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At least 39 people have been killed in a train collision in southern Spain, with dozens more injured. It is Spain’s worst rail crash in more than a decade.

The crash occurred in Adamuz on Sunday evening, when a Madrid-bound train derailed and crossed onto the opposite tracks, colliding with an oncoming train. Four hundred people were on board both trains. Emergency services treated 122 individuals, with 48 still in the hospital, including 11 adults and one child in intensive care.

Spanish Transport Minister Óscar Puente called the incident “extremely strange” and said an investigation is underway. Authorities believe the crash occurred an hour after the train left Málaga, heading north to Madrid.

The cause of the crash remains under investigation, and the incident is expected to have a lasting impact on Spain’s rail network.

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