The death toll from the derailment of two high-speed trains in Spain’s southern Andalusia region has risen to 40, according to local authorities.

In a statement, Andalusia’s regional emergency center said the accident, which occurred overnight between Sunday and Monday, also left 41 people injured and currently receiving hospital treatment, including 12 in intensive care units.

The statement added that emergency services provided first aid to 122 people at the scene, among them five children.

Following the incident, Spain’s national rail operator Renfe announced the cancellation of more than 200 train services bound for Andalusia, as investigations continue to determine the cause of the crash.