An Australian man has been accused of deliberately driving into a house where mourners were gathering for a funeral, killing one woman and injuring 12.
The 55-year-old driver drove into the house at 10:30am in a council car, in the small indigenous community of Kowanyama in Cape York in far north Queensland.
Part of the house collapsed.
"As would be expected with a structural collapse, we have patients with multiple fractures and abrasions and possibly internal injuries," the Queensland Ambulance Service's Neil Noble said.
Some of the mourners were outside at the time of the crash, others were viewing the body of the deceased.
Detective Acting Inspector Mick Gooiker said the driver was related to people at the funeral.
"And this is the result of that."
A 48-year-old woman was killed and 12 people were seriously injured, with dozens more with minor injuries.
Six people have been flown to Cairns for treatment
Former Young Australian of the Year and Kowanyama local Tania Major said her mother was at the funeral, which was for her cousin.
Ms Major said her mother was in the toilet at the time.
"She just said to me 'Tania, Kowanyama is in chaos and turmoil. It's going to be another World War III zone'," Ms Major said.
"Any funeral in a community like this, the whole town would have been there.
"All I know is that all my family was there honouring my oldest cousin.
"My mum was completely shocked when she rang me. [She told me] 'you've lost another cousin'."
The Torres and Cape Hospital and Health Service activated its disaster management plan to respond to the casualties, with the injured to be flown to larger hospitals.
It has two doctors and four nurses on the ground at Kowanyama and a further two nurses have been sent by road from nearby Pormpuraaw.
A Royal Flying Doctor Service plane with two doctors and four nurses was also flown in to provide additional support.
Investigators and scientific officers are also expected to be flown into the community.
Investigations are under way into whether the council car was stolen.
Premier Annastacia Palaszczuk said she was keeping an eye on the situation.
"It is a very tragic incident," she said.
"I'm going to be getting further updates during the course of the day.
"I just want to reassure the residents of Kowanyama that we are getting all the medical expertise that we can to that region."