No less than 19 individuals were stabbed to death and 26 injured in a killing spree at an institution for disabled individuals west of Tokyo, making it one of Japan’s deadliest mass killings since World War II.

Officer Satomi Kurihara of the Sagamihara Fire Department affirmed the loss of life at the Tsukui Yamayurien office in Sagamihara, a neighborhood around 40 kilometers (25 miles) west of the capital.