The Kyodo news agency is reporting that 19 people are dead and 20 injured following a knife attack in Sagamihara, outside Tokyo.

A knife-wielding man attacked a facility for the disabled and then turned himself in, police said. According to the BBC, police arrested the suspect, but no law enforcement agency has confirmed that yet.

Outlets are reporting a varying number of injuries, some as low as 20, some as high as 45. The number of fatalities varies as well.

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Update 7/26, 9:56 a.m.: According to The Guardian, the suspect has been identified as Satoshi Uematsu, a 26-year-old who was "involuntarily hospitalized" for two weeks in February of this year after trying to give a politician a letter saying disabled people should be euthanized, and that if the government wouldn't euthanize them, he was prepared to kill them himself. Uematsu was employed at the center he attacked until he was hospitalized.

The letter read, "My goal is a world in which the severely disabled can be euthanised, with their guardians' consent, if they are unable to live at home and be active in society," the BBC reports. The governor of the prefecture where the facility is located apologized in a press conference for ignoring the warning signs of this attack.

Uematsu reportedly broke the building's window at 2:10 a.m. local time and began slashing residents' throats. The rampage lasted around 40 minutes, during which time he killed people between the ages of 19 and 70 in their sleep. The reported number of victims still varies, but Reuters reports 19 are dead and at least 25 more are seriously wounded this morning. The outlet also reports Uematsu appeared to have driven himself to the police station after the attack to turn himself in. He had bloody knives on him when he arrived.

The Guardian also reports the Tsukui Lily Garden facility is one that cares for people with a wide range of disabilities. It is home to 149 residents. This attack is reportedly the worst mass killing in Japan since World War II.

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Simon Dumenco
Simon Dumenco has written for a wide variety of publications including Advertising Age, Allure, The Awl, Condé Nast Traveler, Details, Esquire, Glamour, New York Magazine, Playboy, Rolling Stone, Travel+Leisure and T: The New York Times Style Magazine, as well as publications around the world including Courrier Japon (Japan), GQ Korea and Russian Vogue.