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Earlier this morning, 15 people died and 95 were injured during a quadruple MVA that occured at km42 on the highway to Santa Ana near Ciudad Arce, La Libertad. On scene were nine DOAs while others acutely injured passed away in surrounding hospitals. Firefighters and EMS crews  had to extricate most of the patients from crushed vehicles. Comandos de Salvamento transported eight patients to surrounding Emergency Rooms.