At least 19 people are dead, including nine children, in a catastrophic fire that broke out at a high-rise apartment building in the Bronx Sunday, officials said.

Iran PressAmerica: Officials say the five-alarm fire started in a duplex apartment on the third floor of a 19-story high-rise building at 333 East 181st Street in the Tremont section of the Bronx just before 11 a.m. Sunday.

Officials said 32 people were sent to hospitals in life-threatening conditions, with at least 63 people injured in total. The predominant injury for the 32 victims was severe smoke inhalation.

FDNY Commissioner Daniel Nigro said authorities “expect there to be numerous fatalities, but we don’t know yet.”

Adams, speaking from the scene of the blaze Sunday, called it “a horrific, horrific painful moment for the City of New York.”

The building currently stands as a shell of its former self, with windows and multiple floors broken and obvious fire damage on the lower floors.