Five people have been confirmed dead following a volcanic eruption on New Zealand’s White Island, while dozens more were injured after a plume of white smoke and ash burst thousands of meters into the air.

About 50 people, many of them tourists, were on or around White Island when it erupted at 2:11 p.m. local time, police said. The island is about 48 kilometers (30 miles) off the east coast of New Zealand’s North Island.

Deputy Commissioner John Tims said in a televised media briefing Monday five people had been confirmed dead and a number of injured had been taken to hospital. Because of the ongoing risk from the volcano, emergency services were unable to help those on the island but were working to confirm how many were still there, Tims said.

Ambulance service St John said it believes up to 20 people on the island require medical treatment but could not confirm the nature or extent of their injuries.

Many of the people visiting White Island are understood to be from the cruise ship Ovation of the Seas, which was berthed at the Port of Tauranga this morning, the New Zealand Herald reported. Port company chief executive Mark Cairns told the newspaper he understands the majority of those injured in the eruption are from the ship.

Prime Minister Jacinda Ardern said the situation is still unfolding and she will travel to the area this evening.

“We know that there were a number of tourists on or around the island at the time, both New Zealanders and visitors from overseas,” she said at a press briefing. “I know there will be a huge amount of concern and anxiety for those who have loved ones on or around the island at the time.”

The eruption created an ash plume some 3.6 kilometers high, government agency GeoNet said. The volcanic alert level was raised from two to four, one notch below its top reading, before being reduced to three, GeoNet said.

“We have seen a steady decline in activity since the eruption,” Geoff Kilgour, duty volcanologist at GeoNet, said in a statement. “There remains significant uncertainty as to future changes but currently, there are no signs of escalation.”

New Zealand sits on the Pacific Ring of Fire, a belt of volcanic and seismic activity that rings the Pacific Ocean.

(Updates with death toll in first paragraph)

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Photo Credit: Steam is pictured emitting from White Island from the Bay of Plenty coastline on December 9, 2019, in Whakatane, New Zealand. John Boren / Getty Images