'At least 20 dead bodies were spotted in the water,' said Italian Coast Guard commander Cosimo Nicastro.
'Not a scene from a horror movie,' he wrote on Twitter alongside a photo of dozens of migrants floating in the sea, their flimsy smugglers' boat in the background.
He added: 'Real life tragedy unfolding on Europe's doorstep today!'
'Most are toddlers,' the group's co-founder Chris Catrambone said on Twitter.
The coast guard called in more ships to help with the rescue, saying about 1,700 people were packed into about 15 vessels in the area.
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