The collision closed U.S. 250 north of Cheat Bridge to Durbin. On Friday afternoon, West Virginia Division of Highways workers recommended W.Va. 28 and W.Va. 66 as detours around the area.
Earlier in the day, Fath had said at least eight ambulances arrived at the hospital. She didn't know the condition of the arrivals.
"Some wished to have medical care. Some declined to have medical care," Fath told the AP in the afternoon. "Our staff is on the bus trying to [assess] which ones will want to be seen."
Gov. Earl Ray Tomblin issued a statement about the incident.
"Our thoughts and prayers are with all those involved and the emergency responders working the tragic accident in Randolph County this afternoon," Tomblin stated. "My administration is working with all agencies involved to ensure the first responders and emergency managers on the ground are receiving the assistance they need."
Tomblin spokeswoman Amy Shuler Goodwin said West Virginia Department of Environmental Protection crews were sent to the site to help clean up a large fuel spill. Neither Goodwin nor Randolph County emergency services director Jim Wise knew whether the spill came from the truck or the train
Later Friday, Sen. Jay Rockefeller, D-W.Va., also issued a statement.
"While we await the details of this afternoon's devastating accident in Randolph County, my heart goes out to all those who are suffering from injuries and to the families of those who were hurt or killed," he said. "Tonight, all of West Virginia holds them in our thoughts and prayers."
Rockefeller added that, unfortunately, accident investigators from the National Transportation Safety Board would not be able to immediately investigate the incident because they've been furloughed during the federal government's partial shutdown.