Police are investigating the collision between trains operated by Inca Rail SA and PeruRail SA, which mainly transport tourists to the iconic site. A health official said about 20 people were in relatively serious condition.
A police officer added that foreign tourists were among the injured.
Images posted on social media shortly after the crash showed the badly damaged locomotives facing each other on the track, broken glass strewn around and injured people being treated on the sides of the tracks.
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