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MEXICO CITY — At least 11 people died when a bus carrying cruise ship passengers to Mayan ruins in eastern Mexico flipped over on a highway early Tuesday, officials said. At least seven Americans are among the injured.

In addition, two citizens of Sweden are injured, according to Quintana Roo state Civil Defense spokesman Vicente Martin, who said authorities haven’t yet established the nationalities of the dead.

The tourism ministry of Quintana Roo state government says there were 31 people on the bus, but also has reported the death toll at 12. One of the deceased includes a child they say.

Costa Maya Mahahual, the bus company involved in Tuesday’s incident, says the nationalities of the passengers are: American, Italian, Swedish and Brazilian.

A spokesman from the U.S. Embassy in Mexico said U.S. officials were working with local authorities to determine whether U.S. citizens were involved.

“We express our condolences to all those affected by this tragedy,” the U.S. Embassy said. “We are in contact with local authorities and are working with them to determine if there were U.S. citizens on board.  We will continue to monitor the situation.”

The U.S. Embassy in Mexico also added: “The protection of U.S. citizens overseas is one of the highest priorities for the State Department. We stand ready to provide all appropriate consular assistance to affected U.S. citizens. Any U.S. citizens who require assistance may reach the Consular Service Center in Monterrey at +52-81-8047-3145.”

The U.S. State Department said during its briefing Tuesday that it’s aware of the situation and that U.S. officials are traveling to the site.

171219-civil-defense-quintana-roo-bus-crash-02.jpg

A look at the scene of a deadly bus crash in Mexico on Tue., Dec. 19, 2017.

Quintana Roo state Civil Defense

Video images from the scene showed the bus on its side in vegetation off the two-lane highway, with some survivors lying on the pavement while others walked around. The road was narrow with no shoulder or guardrail.

Martin said the crash occurred as the bus was on its way to the ruins at Chacchoben, about 110 miles south of Tulum.

The cause of the accident was under investigation.

An American cruise passenger visiting Mexico says the bus flipped over on a dry road and he didn’t see any sign that other vehicles were involved. Chris Brawley of Haslet, Texas, says he didn’t see the accident, but his bus of tourists came upon the scene minutes after the crash.

He says a convoy of buses was carrying people from the cruise port at Mahahual and heading to Chacchoben. He says they were driving about 35 to 40 minutes before the accident.

“The bus clearly lost control somehow as there was swerve marks all over the road surface,” Brawley said.

Brawley said his ship departed Fort Lauderdale, Florida, on Friday for a seven-day cruise. They were in Roatan, Honduras, on Monday and were scheduled to be in Cozumel on Wednesday.

Michael Schuenemeyer, a minister from Cleveland, was on another bus that passed the crash about an hour later.

Tow trucks were lifting up the bus when they passed by, he said. “It was in pretty sad shape,” Schuenemeyer said.

Costa Maya Mahahual, the bus company involved, said in a statement that the bus was carrying tourists who arrived to the coastal town of Mahahual.

In addition to the tourists, a guide and driver were aboard the bus, the company said.

The General Director of State Transit, Jorge Cesar Santana Poot, says injured people were transferred to hospitals in Bacalar and Chetumal.

Royal Caribbean said in a statement the accident is “heartbreaking.”

“The news from Costa Maya about a bus accident involving our guests is heartbreaking,” the statement said. “Our hearts go out to all those involved. We are doing all we can to care for our guests, including assisting with medical care and transportation.”

Royal Caribbean reports that the tour bus involved was carrying guests from Celebrity Equinox and Serenade of the Seas.

Royal Caribbean has been active on social media in regards to the accident and its 27 guests who were on the bus:

CBS News’ Peter Martinez, Tony Cavin, Jose Diaz and Kylie Atwood contributed to this report.