A teenage girl has shot dead three children and three adults at a private Christian school in Nashville, Tennessee, say US authorities.
The attacker was killed by police after a confrontation with officers following the assault at the Covenant School.
Police said the suspect, who appeared to be in her teens, was armed with two assault-type rifles and a pistol.
John Howser, from Vanderbilt University Medical Center, earlier confirmed “three paediatric patients were transported to Monroe Carell Jr Children’s Hospital at Vanderbilt, all having suffered gunshot wounds”.
Image: The shooting happened at the Covenant School. Pic: Metro Nashville Police Department
The three children, who were all students, were pronounced dead after they arrived there.
The female attacker died after being “engaged by” officers, police said in a Twitter post.
It was not clear whether anyone else was wounded in the attack.
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Other pupils walked to safety, holding hands as they left their school surrounded by police cars, to a nearby church where they were reunited with their parents.
The Nashville Fire Department said on Twitter there were “multiple patients”.
Police with rifles, heavy vests and helmets could be seen walking through the school car park and around the grassy perimeter of the building.
Helicopter footage also showed the officers looking around a wooded area between the campus and a nearby road.
Nashville mayor John Cooper has thanked emergency services for their response to the attack.
He tweeted: “In a tragic morning, Nashville joined the dreaded, long list of communities to experience a school shooting.
“My heart goes out to the families of the victims. Our entire city stands with you.”
Democrat state representative Bob Freeman, whose district includes the Covenant School, called the shooting an “unimaginable tragedy”.
“I live around the corner from Covenant and pass by it often. I have friends who attend both church and school there,” Mr Freeman said.
“I have also visited the church in the past. It tears my heart apart to see this.”
The Covenant School has about 200 students from pre-school to sixth grade and was founded as a ministry of Covenant Presbyterian Church in 2001, according to the school’s website.
Elon Musk has stepped up his attacks on Donald Trump’s sweeping tax and spending bill – weeks after a spectacular fallout between the world’s richest man and the US president.
Following weeks of relative silence after clashing with Mr Trump over his “big beautiful bill”, the billionaire vowed to unseat politicians who support it.
In a post on X, Musk said those who had campaigned on cutting spending but then backed the bill “should hang their heads in shame”.
He added: “And they will lose their primary next year if it is the last thing I do on this Earth.”
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Musk also threatened to put their faces on a poster which said “liar” and “voted to increase America’s debt” by $5trn (£3.6trn).
The posts attracted a swift reply from Mr Trump, who claimed the billionaire “may get more subsidy than any human being in history” for his electric car business.
“Without subsidies, Elon would probably have to close up shop and head back home to South Africa,” he wrote on Truth Social.
“No more Rocket launches, Satellites, or Electric Car Production, and our Country would save a FORTUNE. Perhaps we should have DOGE take a good, hard, look at this? BIG MONEY TO BE SAVED!!!”
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Elon’s dad on the Musk-Trump bust-up
Musk spent at least $250m (£182m) supporting Mr Trump in his presidential campaign and then led the newly formed Department of Government Efficiency (DOGE), which sacked about 120,000 federal employees.
He has argued the legislation would greatly increase the US national debt and wipe out the savings he claimed he achieved through DOGE.
As the Senate discussed the package, Musk called it “utterly insane and destructive”.
The Tesla and SpaceX CEO said the bill’s massive spending indicated “we live in a one-party country – the PORKY PIG PARTY!!”
“Time for a new political party that actually cares about the people,” he wrote.
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Israeli Prime Minister Benjamin Netanyahu will be meeting Donald Trump next Monday, according to US officials.
The visit on 7 July comes after Mr Trump suggested it was possible a ceasefire in Gaza could be reached within a week.
On Sunday, he wrote on social media: “MAKE THE DEAL IN GAZA. GET THE HOSTAGES BACK!!!”
At least 60 people killed across Gaza on Monday, in what turned out to be some of the heaviest attacks in weeks.
Image: Benjamin Netanyahu, left, with Donald Trump during a previous meeting. Pic: Reuters
According to the Hamas-run health ministry, 56,500 people have been killed in the 20-month war.
The visit by Mr Netanyahu to Washington has not been formally announced and the officials who said it would be going ahead spoke on condition of anonymity.
An Israeli official in Washington also confirmed the meeting next Monday.
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White House Press Secretary Karoline Leavitt said the administration was in constant communication with the Israeli government.
She said Mr Trump viewed ending the war in Gaza and returning remaining hostages held by Hamas as a top priority.
The war in Gaza broke out in retaliation for Hamas’ 7 October 2023 attacks on southern Israel that killed 1,200 people and saw a further 250 taken hostage.
An eight-week ceasefire was reached in the final days of Joe Biden’s US presidency, but Israel resumed the war in March after trying to get Hamas to accept new terms on next steps.
Talks between Israel and Hamas have stalled over whether the war should end as part of any ceasefire.