Tokyo/Ottawa(PTI): Leaders from across the world, including Japanese Prime Minister Fumio Kishida and Canadian Prime Minister Justin Trudeau, have expressed their deepest condolences to the families and the Government of India for the triple train crash that took place in Odisha in which at least 261 people were killed.

The accident, involving three trains, is one of the worst in the country and took place in Odisha's Balasore district on Friday night. The accident also injured more than 900 people.

Japan's Prime Minister Kishida sent a condolence message to Prime Minister Narendra Modi following the train accident.

"I am deeply saddened by the news of the loss of many precious lives and the injuries in the train accident in the State of Odisha. On behalf of the Government of Japan and its people, I would like to express our heartfelt condolences to those who lost their lives and their bereaved families. I also pray for the speedy recovery of those who were injured," Kishida said in a statement.

Japanese Foreign Minister Yoshimasa Hayashi also sent a condolence message to Foreign Minister S Jaishankar.

"I am deeply saddened by the news of the loss of many precious lives in the train accident in the State of Odisha. I pray for the souls of the victims and extend my deepest condolences to the bereaved families. I also sincerely hope that those who were injured will recover swiftly," Hayashi said.

Canadian Prime Minister Trudeau said at this difficult time, Canadians are standing with the people of India.

"The images and reports of the train crash in Odisha, India break my heart. I'm sending my deepest condolences to those who lost loved ones, and I'm keeping the injured in my thoughts. At this difficult time, Canadians are standing with the people of India," Trudeau tweeted.

Nepal Prime Minister 'Prachanda', who is on a four-day visit to India, tweeted, "I'm saddened by the loss of dozens of lives in a train accident in Odisha, India today. I extend deep condolences to Prime Minister Shri @narendramodi Ji, Government, and the bereaved families in this hour of grief."

Sri Lankan Foreign Minister Ali Sabry said that he is "deeply saddened" to learn about the train accident in Odisha. He wished for a speedy recovery for all those affected in the accident.

"Deeply saddened to learn of the tragic train accident in Odisha. My thoughts & prayers are with the families of the victims & those injured. I hope for a speedy recovery for all those affected. Sri Lanka stands with India in this time of grief," Ali Sabry tweeted.

Bhutan's Prime Minster Lotay Tshering tweeted," Sending prayers to @narendramodi and the people of India as we hear developments of the tragic train crash in Odisha. May the loved ones find strength, as they come to terms with the loss and horror. We share your pain and pray for quick healing."

The Deputy Prime Minister of Italy and Minister of Foreign Affairs Antonio Tajani also expressed condolences on the train tragedy.

"The Italian Government expresses deep condolences to #India for the tragic train accident that occurred today in Balasore. A prayer for the victims and the injured, I hope that those still trapped will be rescued," Tajani tweeted.

UN General Assembly president Csaba Korosi too expressed his deepest condolence to the families over the tragic train accident.

"I'm deeply saddened to hear the news of the train crash in Odisha, India. My thoughts and prayers are with the victims, their families and with the emergency services. Heartfelt condolences to the people and the Government of India," Korosi, the President of the 77th session of the General Assembly tweeted.

Taiwanese President Tsai Ing-wen also extended heartfelt condolences to the victims.

"Taiwan Praying for everyone affected by the train accident in India. I extend my heartfelt condolences to the victims and their families, and hope that rescue operations can save all those in need," she tweeted.

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Bengaluru (PTI): Karnataka BJP president B Y Vijayendra on Wednesday hit out at the Congress government over alleged medicine shortages, large-scale irregularities and disruption of services in the health department.

The situation had deteriorated to such an extent that doctors were forced to protest on the streets, he claimed.

Addressing a press conference here, he said the Siddaramaiah-led government lacked the will to resolve pressing public issues and accused it of indulging in "blame politics" instead of governance.

"Due to the irresponsibility of this Congress government, the health department itself is in the ICU. There is a severe shortage of medicines in government hospitals. The 108 ambulance services are facing severe problems. Doctors have been pushed to the streets to protest. The Congress government celebrates 1,000 days in power with achievement conventions, but it has failed to solve real problems," he said.

He criticised the state government for allegedly shutting down Jan Aushadhi centres located on government hospital premises, claiming that needy patients are suffering as they are not getting medicines.

"For the past two months, government doctors themselves have been advising poor patients to buy medicines from private pharmacies because medicines are unavailable in hospitals," he alleged.

Vijayendra further alleged that the state government has reportedly not cleared Rs 143 crore in dues to institutions providing CT scan and MRI services.

"As a result, needy patients in rural and urban areas are unable to access these services. Pregnant women are facing hardships. Doctors are forced to protest on the streets...This government claims to be one that delivers on its promises. But does it have even the slightest concern for how poor people are struggling in the healthcare sector," he alleged.

The BJP state president claimed that the Congress government under Chief Minister Siddaramaiah and its deputy D K Shivakumar is not pro-poor; instead, it is a government that supports middlemen.

"Who is responsible for the medicine shortage in government hospitals and medical colleges? The state government and the concerned ministers are responsible. According to information available to me, under pressure from influential individuals, irregularities are taking place in medicine procurement. Instead of purchasing medicines through authorised central and state agencies, the government has moved to fragmented district- and taluk-level tenders," he claimed.

He further alleged that due to commission demands of 15-20 per cent, many companies and public enterprises are not participating in tenders, worsening the system.

Vijayendra claimed that the Karnataka State Medical Supplies Corporation's procurement system has been sidelined, leading to an artificial shortage of medicines.

He also alleged that a private individual from Mangaluru is controlling the state's medicine procurement system, supplying medicines to most government hospitals.

"This has led to market prices being inflated. Medicines costing Rs 100 are reportedly being purchased for Rs 300. I will provide more documents and evidence in the coming days," he claimed.

He also alleged that staff associated with the 108 ambulance services have not been paid salaries for the past eight to nine months.

"The government must take responsibility and reform the system instead of protecting middlemen," he added.