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Twelve people have been killed, and eight others injured when two taxis collided on the N12 outside Klerksdorp in the North West.
ER24 spokesperson Werner Vermaak says paramedics found several people strewn across the highway on the Wolmaransstad road on Sunday night.
He says five of the 12 victims were children aged between one and six.
Vermaak says the injured - two of them in a critical condition - were taken to a nearby hospital.
Both drivers were killed in the crash.
The cause of the accident is not known.