Eight people have died after a stampede outside a game at the African Cup of Nations soccer tournament in Cameroon, while another seven people are in serious condition in the hospital, authorities said Tuesday.

The death toll increased after two more fans were pronounced dead outside the Messassi hospital, police said. Injured people had initially been rushed to that hospital by police and civilians trying to help. The hospital quickly became overwhelmed and said it couldn’t handle all the casualties.

According to a preliminary health ministry report obtained by AFP, the deaths included “two women in their thirties, four men in their thirties, one child, one body taken away by the family.”

A total of 38 people were hurt in the stampede, which happened Monday night at the Olembe Stadium in the Cameroon capital of Yaounde. The remaining 31 people had light to moderate injuries. The injured are now being treated at four different hospitals, Communication Minister René Sadi said.