UVALDE, Texas (AP) — An 18-year-old gunman opened fire Tuesday at a Texas elementary school, killing at least 19 children as he went from classroom to classroom, officials said, in the latest gruesome moment for a country scarred by a string of massacres. The attacker was killed by law enforcement.

The death toll also included three adults, according to state Sen. Roland Gutierrez, who said he was briefed by state police on the fatalities. But it was not immediately clear whether that number included the assailant.

It was the deadliest shooting at a U.S. grade school since a gunmen killed 20 children and six adults at Sandy Hook Elementary in Newtown, Connecticut, almost a decade ago.

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