At least 38 pilgrims were killed on their way home from the Padre Pio shrine when their bus plunged off an elevated highway.
Another 19 people were reported seriously injured, including passengers of nearby vehicles. Only 11 people were pulled alive from the wreckage, Vatican Radio and other news outlets reported.
The accident occurred Sunday along a major highway in Irpinia, a mountainous region in Campania, in southern Italy. A number of the victims were children.