Dutch police have arrested a gunman who killed at least three people in twin shootings in the city of Rotterdam.
They say the male attacker, 32, opened fire in a home before setting it alight, then stormed the city's Erasmus Medical Center on Thursday.
He was a student at Erasmus University, which is affiliated with the hospital.
A woman, 39, and her 14-year old daughter were killed in the first shooting. A male lecturer, 43, was shot dead at the hospital.
Footage has emerged showing a man in camouflaged clothing being taken from the hospital building in handcuffs. The motives for the attack were not immediately known.
A security guard who says he was first on the scene told the BBC it was a "shocking" day.
"It was terrible, terrible," he said, visibly shaken and not wanting to give his name.
He said that the gunman had not entered the medical centre through the main entrance.
Dutch Prime Minister Mark Rutte wrote in a post on social media: "My thoughts go out to the victims of the violence, their loved ones and to all the people who have been in great fear."
At a news briefing after Thursday's shooting, Rotterdam police officers said the gunman was known to them. He was convicted of animal cruelty two years ago.
The suspect has been named Fouad L., Dutch media are reporting.
The police said there were no indications of a second gunman.
As the shooting started at the medical centre, employees were seen running out of the building with patients, some of them on stretchers.
Signs were seen taped to two hospital windows reading: "Room 32. We can't get out!"
Barak, a 27-year-old student from Israel, told the BBC he was in a job interview when the shooting began. When he came out, it was scary with so many sirens and messages.
"We can't believe it was a student like us," he added.
Another student told RTL Nieuws website: "First there was a shooting on the fourth floor. Four or five shots were fired. Then a Molotov cocktail was thrown into the education centre."
Elite police units - including snipers - stormed the hospital, and helicopters were seen hovering over the hospital building.
Before his arrest, the police said the dark-haired tall suspect in combat gear may have been on a motorcycle, and was carrying a backpack, headphones and a handgun.
Latest Stories
-
Investors don’t find Ghana’s oil field or upstream sector attractive anymore – Nana Amoasi VII
2 hours -
We’ll not accept these unscrupulous acts – Kwesi Kwarteng on alleged distribution of expired rice to SHSs
2 hours -
Frimpong Manso wins NASCO Coach of the Month award for October
3 hours -
Kotoko’s Albert Amoah wins NASCO POTM for October
3 hours -
Paradox of Elitism: Why Ghana’s brightest minds fall short in leadership
3 hours -
EPA, UNESCO to advance plan to guard Lake Bosomtwe from further degradation
4 hours -
The Great Exodus: How Ghana’s best and brightest are trapped in a cycle of modern slavery
4 hours -
Ronica Sings returns with ‘Covenant Keeping God’
4 hours -
The Uneven Path Toward Cheaper Digital Remittances: A Focus on Ghana
4 hours -
Ogagus nominated A&R of the Year at the 2024 Beatz Awards
4 hours -
Is Ghana on the brink of becoming a failed state?
4 hours -
There is no order against The Speaker – Thaddeus Sory
4 hours -
I have observed his good and unifying conduct – Kufuor on Bawumia
4 hours -
Bawumia’s understanding of technology and global trends is what we need as a country – Kufuor
4 hours -
It is the way to go – ex-President Kufuor hails Bawumia railway development plan
4 hours