Dozens of people have been injured as more than 130 vehicles were involved in a series of crashes in thick fog on the A249 Sheppey crossing in Kent, the BBC reports.
Eight of those hurt in the collisions, which took place at about 07:15 BST, have serious injuries.
Ambulance crews said 27 casualties needed hospital treatment and they dealt with 200 people at the scene.
Firefighters said they had freed five people from their vehicles on the southbound carriageway.
