At least 19 people, including nine children, died in a fire Sunday at a Bronx apartment building in one of the worst blazes in New York City in decades, officials said.

Mayor Eric Adams called the fire’s toll “horrific.”

“This is going to be one of the worst fires that we have witnessed during modern times,” he said.

The death toll was confirmed by Stefan Ringel, a senior adviser to Adams. A city official who was not authorized to speak publicly confirmed the number of children dead.

More than five dozen people were injured and 13 people were still in critical condition in the hospital, Ringel said. The majority of victims were suffering from severe smoke inhalation, FDNY Commissioner Daniel Nigro said at a press conference earlier that afternoon.

Firefighters work outside an apartment building after a fire in the Bronx, Sunday, Jan. 9, 2022, in New York. (AP Photo/Yuki Iwamura)

Firefighters “found victims on every floor and were taking them out in cardiac and respiratory arrest,” he said at an afternoon briefing. “That is unprecedented in our city. We expect there to be numerous fatalities.”

According to the FDNY, approximately 200 firefighters responded to the scene Sunday at the Twin Park apartments, a 19-story building on East 181st Street.

Ladders are seen erected beside the apartment building where a fire occurred in the Bronx on Sunday, Jan. 9, 2022, in New York. (AP Photo/Yuki Iwamura)

News photographers at the scene captured images of firefighters entering the upper floors of the burning building on a ladder, multiple limp children being given oxygen after being carried from the building and evacuees with their faces covered in soot.

Nigro compared the severity of the fire to the Happy Land social club fire, which killed 87 people in 1990 when man set fire to the building after getting into an argument with his former girlfriend and being thrown out of the club.

According to Nigro, Sunday’s fire originated in a duplex apartment spanning the second and third floors. Firefighters found the door to the apartment open, he said, which apparently allowed the fire to accelerate and spread smoke upward quickly.

The fire is not believed to be suspicious in origin but the cause is under investigation.

A curtain hangs outside a window at an apartment building in the Bronx on Sunday, Jan. 9, 2022, in New York, where a fatal fire occurred, in what the city’s fire commissioner called one of the worst blazes in recent memory. (AP Photo/Yuki Iwamura)

A resident of the building, Cristal Diaz, 27, told the New York Post she was drinking coffee in her living room when she smelled the smoke.

“We started putting water on towels and the bottom of the door. Everything was crazy,” she said. “We didn’t know what to do. We looked out the windows and saw all the dead bodies they were taking with the blankets.”

Sunday’s blaze came just days after a Philadelphia house fire killed 12 people — including eight children — was the deadliest fire at a U.S. residential apartment building since 2017 when 13 people died in an apartment in the Bronx neighborhood of New York City, according to data from the National Fire Protection Association. That fire started after a 3-year-old boy was playing with stove burners.

The deadliest fire prior to that was in 1989 when a Tennessee apartment building fire claimed the lives of 16 people.

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