HONOLULU - UPDATE: All lanes at Beretania street between Maunakea street and River street are now opened.

A fatal pedestrian accident involving multiple people had shut down all lanes on Beretania from Maunakea Street to River Street at 3 p.m. Monday.

Three pedestrians were involved, one of whom was an elderly woman who was pronounced dead at the scene. A male in his 70s is in serious condition, and a female between her 60s and 70s is in critical condition. Officials say EMS provided advanced life-saving medical care to multiple patients.

There were three passengers in the vehicle involved, all are in stable condition. 

The cause of the accident is unknown as of right now.

Use alternate routes.