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RAMONA, Calif. — Two people were killed in a head-on collision in East County Wednesday, and a survivor had to be freed from the wreckage, authorities reported.

The crash happened around 12:20 p.m. on Mussey Grade Road and Ardees Way near Ramona, Cal Fire reported.

The crash involved a 2016 Ford Focus and a 2017 Subaru Impreza, the California Highway Patrol said. The Focus, driven by a 56-year-old woman, was speeding north on Mussey Grade Road when the driver lost control and it drifted into the southbound lane and smashed head-on into the Subaru, the CHP said.

The driver of the Focus and a male passenger in the Subaru died from their injuries at the scene. The female driver of the Subaru suffered major injuries and was flown by helicopter ambulance to Palomar Medical Center in Escondido. Her condition was not known.

Investigators said both people in the Subaru were wearing seatbelts, but the driver of the Focus was not. They did not know if drugs or alcohol were a factor in the crash.

The crash left both lanes of the road blocked. Drivers were advised to take alternate routes until further notice.