A train collided with a truck packed with farm workers at a South Africa railway crossing near Cape Town this morning, killing at least 20 people and injuring eight, paramedics said.

The South African government’s muddled Aids policy suffered its most serious blow to date today when a court ordered it make a key drug available to HIV-positive pregnant women Aids activists cheered and embraced after the landmark decision to force the government to distribute the drug nevirapine was read by Pretoria High Court Judge Chris Botha.