Police in Italy have confirmed that 38 people were killed and 18 injured when a coach plunged 30 metres down a steep slope, according to rescue services.
The coach hit several cars before coming off a flyover near the town of Avellino, in the Campania region, on Sunday.
The BBC reported the coach was taking about 50 people, including children, back to Naples following a pilgrimage to the city of Telese Terme in Campania.
Television footage showed smashed vehicles on the flyover and shrouded bodies lined up by the side of a road. The driver of the coach is said to be among the dead.
Witnesses said it looked like the coach may have had brake problems.
Casualties were taken to hospitals in Avellino, Salerno and Nola.