A bus was headed from Baracoa to Guantánamo on Thursday afternoon when it flipped over. The region is mountainous with winding roads.
Of the 40 passengers, 18 people were Cubans, and the others were tourists from the Netherlands, Mexico, England, France and Canada.
Officials were working to identify the dead.
According to state media, 33 injured passengers arrived at a hospital in Guantánamo for treatment.
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