Twenty nine people have been killed following a bus accident on a dirt road just outside Willowvale in the Eastern Cape.
Spokesperson for the Department of Health Sizwe Kupelo says a privately owned bus was involved in the accident and it is not yet clear as to what exactly happened.
He says various passengers, including the driver is still trapped in the vehicle and the death toll is expected to rise.
He says so far nine people have been injured with six critical patients taken to various hospitals.
Kupelo says the accident happened on a dirt road and motorists do not need to worry about any road closures in the area.
Police are investigating a case of culpable homicide.