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The explosion tore the roof off the emergency department at the Tambo Memorial hospital, destroyed two houses, several cars and injured bystanders up to 500 metres from the scene in the city's Boksburg suburb.
The vehicle caught fire under a low bridge. The National Prosecuting Authority (NPA) stated on 28 December 2022 that there is no case against the driver in the fatal tank blast explosion
President Ramaphosa said hospital patients and children were among the dead.
"The nation's hearts go out to everyone affected by this devastating incident," he added in a statement.