Two people were killed and two injured in a shooting at hospital in Nevada, in which the gunman apparently took his own life, police said.
The incident occurred at a building connected to the Renown Regional Medical Centre in Reno yesterday, reports said.
"We have two people confirmed deceased in the building," said Reno Police Department deputy chief Tom Robinson.
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He gave no other details.
The incident came days after the anniversary Saturday of the Sandy Hook massacre which killed 26 people including 20 children in Newtown, Connecticut.