A head-on collision between a passenger bus and a truck in central Ghana has killed 53 people.
The accident happened on Wednesday night in the town of Kintampo, more than 250 miles north of the capital, Accra. Police said the survivors included 18 adults and five children.
President John Dramani Mahama expressed condolences to affected families on Twitter and said emergency crews were responding.
Bodies were strewn on the road in a scene of "devastation", said Fred Dwomoh, whose son survived.
"This accident has shattered families," he said.
Relatives of some other passengers awaited news.
"My wife was on that bus and l am dreading to go to the hospital," said Peter Frimpong, a trader in Accra. "I have asked my brother to check to see what has happened to her."
Officials are investigating. Ghana's National Road Safety Commission reported that more than 1,600 people were killed in road accidents last year.