There have been six similar incidents since 1997, but Sunday's incident was the most deadly, the Roanoke Times newspaper reported.

BBC: Deadly pile-up in southern Virginia

After 10 days in hospital, he decided to forgo treatment and return home, his wife told local newspaper the Roanoke Times.

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Friday isn't usually a busy day at the school's mall campus, Ben Kramer, an activities counselor for the community college, told The Roanoke Times.

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