Johannesburg (PTI): At least 64 people were killed and 43 others injured after a massive fire broke out on Thursday in a multi-storey building occupied by migrants in the central business district here in South Africa's biggest city, emergency services said.

Authorities said it was unclear what sparked the blaze at the five-storey building in the city centre.

City of Johannesburg emergency services spokesperson Robert Mulaudzi said firefighters were alerted to the fire in a building on the corner of Delvers and Alberts streets at about 1:30 a.m.

Dozens of emergency and rescue workers are still on the scene as bodies continue to be brought out.

"We managed to evacuate the people who were inside the building as soon as we arrived while we were conducting firefighting operations," Mulaudzi said, adding that most of those treated for injuries had suffered smoke inhalation or minor injuries.

Mulaudzi said arrangements were being made to accommodate those who had been left homeless by the incident.

The fire gutted the building.

A total of 64 bodies were recovered and 43 were injured in the fire, Mulaudzi said.

A video posted by Mulaudzi on X, formerly known as Twitter, showed fire trucks and ambulances outside the building with burnt-out windows.

A toddler was among the deceased.

Of the injured, some suffered smoke inhalation with others sustaining minor injuries.

Mulaudzi said the fire had been contained and that they were busy with "damping down" as well as search and recovery operations.

He said the death toll may increase because there was an informal settlement inside the building which may have resulted in people being trapped while trying to flee.

"Every floor has an informal settlement, and those that were trying to evacuate were trapped because of the structures between the floors," the News24 website quoted Mulaudzi as saying.

"We have informed people who are at the scene looking for their relatives that chances of finding them alive are very slim."

The building is one of many in the once bustling district of Johannesburg that has been hijacked by criminal elements who then let them out to desperate migrants, both legal and illegal, who need accommodation.

Often, this is despite there being no electricity, water, or sanitation services as the municipality discontinues these in abandoned buildings in an attempt to make them safer.

"There are dozens of shacks inside this building and there must be a few hundred people living in small shacks into which the five floors have been divided," said a resident from Tanzania, who lives next to the building and refused to be identified as he said he was still struggling to get refugee status.

He said most of the residents in several buildings in the area were illegal migrants from African states who came to the economic heart of South Africa in search of jobs, but most had to struggle to make ends meet as these were very scarce.

He said there were also South Africans from rural areas who did that and who were also exploited by unscrupulous criminal syndicates who have hijacked the buildings.

"Most of us are forced to use candles for light and cook on small paraffin stoves and some even use boulas (open fires made in old steel drums), which are very dangerous in closed buildings. I'm not sure how this fire started, but last night was cold and it could have been something like that," he said.

He added that there were some families with small children living in the building.

"I don't see much hope for anyone else coming alive out of that building now. We just see firemen bringing out bodies one by one. It's very sad!", said another woman, who also lives in a shack nearby, again refusing to be identified.

Hundreds of economic migrants live in makeshift homes on empty land and even some streets or converted small sections of buildings in the suburbs surrounding the centre of Johannesburg.

Those injured in the blaze were taken to hospital.

Officials from the City of Johannesburg disaster management have been activated to facilitate relief for affected families.

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Kolkata (PTI): The West Bengal health department has launched a probe into the supplies of allegedly low-quality and locally made catheters at a high price to several government hospitals, posing a risk to the lives of patients undergoing treatment in these facilities, officials said.

Such central venous catheters (CVCs) were allegedly supplied to at least five medical colleges and hospitals in the state, defying allocation of international standard-compliant CVCs, they said.

The distribution company, which has been accused of supplying these catheters to government hospitals, admitted to the fault but placed the blame on its employees.

"We started checking stocks some time back and found these locally made CVCs in my hospital store. These catheters are of low quality as compared to those allocated by the state. We have informed the state health department," a senior official of the Calcutta Medical College and Hospital told PTI.

Low-quality catheters were also found in the stores of other hospitals, which indicates "possible involvement of insiders in the scam", a health department official said.

The low-quality CVCs were supplied by a distributor in the Hatibagan area in the northern part of Kolkata for the last three to four months, he said.

"Such kinds of local CVCs are priced around Rs 1,500 but the distributor took Rs 4,177 for each device," the official said.

A CVC is a thin and flexible tube that is inserted into a vein to allow for the administration of fluids, blood, and other treatment. It's also clinically called a central line catheter.

"An initial probe revealed that the distribution company Prakash Surgical had supplied the low-quality and locally manufactured catheters to several government hospitals instead of the CVCs of the government-designated international company.

"All the units will be tested and a proper investigation is on to find out who benefited from these supplies," the health department official said.

The distribution company blamed its employees for the supply of inferior quality catheters.

"I was sick for a few months. Some employees of the organisation made this mistake. We are taking back all those units that have gone to the hospitals. It's all about misunderstanding," an official of the distribution company told PTI.

According to another state health department official, a complaint was lodged with the police in this connection.

Asked about how many patients were affected by the usage of such low-quality CVCs, the official said, "The probe would also try to find that out".

According to sources in the health department, some of the staff of the hospitals' equipment receiving departments and some local officials of international organisations might be involved in the alleged irregularities.