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The fire began in the hotel kitchen in the early hours of Monday, according to police officer Tauqeer Naeem.Some of the deaths were caused by suffocation, according to Dr. Semi Jamali of Jinnah's Hospital in Karachi.At least 65 people were brought to the emergency department, Jamali told local outlet Dawn. Among the patients were people who had fractured bones after jumping from windows, those who had been hurt by shattered glass and many who had suffered from smoke inhalation.Jamali said that foreigners are among those being treated for burns., Jamali said, noting that the death toll is expected to rise, Xinhua reported.Senior police official Saqib Memon said the fire has been extinguished, and a search-and-rescue operation is under way inside the hotel.according to Karachi Mayor Waseem Akhtar, as quoted by Dawn newspaper.