A man in his twenties stabbed and murdered 19 people and wounded up to 45 more in the city of Sagamihara, Kanagawa Prefecture in Japan, according to Japanese news reports.
The attacker used a knife and apparently stabbed the victims in a facility for handicapped people.
The stabber is reported to be a former staff member of the facility. He was arrested by police after he turned himself in, following his attack.
Sagamihara is around 20 miles west of Tokyo.