UVALDE, Texas – Texas Department of Public Safety (DPS) officials say the death toll at Robb Elementary School in Uvalde, about 85 miles west of San Antonio, is now at 18 students and three adults.

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

The 18-year-old gunman opened fire Tuesday at a Texas elementary school, killing at least 18 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 assailant was killed by law enforcement.

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

The massacre at Robb Elementary School in the heavily Latino town of Uvalde 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.

President Joe Biden delivered an emotional call for new restrictions on firearms after a gunman opened fire at a Texas elementary school on Tuesday.

“When in God’s name are we going to stand up to the gun lobby?” Biden said at the White House shortly after returning from a five-day trip to Asia that was bookended by tragedy.

With first lady Jill Biden standing by his side in the Roosevelt Room, Biden added, “I am sick and tired. We have to act.”

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Earlier in the day, Texas Governor Greg Abbott shared the grim news that 14 children were killed, as well as one teacher after a mass shooting at the school.

Governor Abbott said the suspected 18 year-old shooter, also died and was believed to be killed by responding officers.

Abbott says the shooter had a handgun and possibly a rifle.

The nature and severity of the people’s injuries wasn’t immediately known, as is whether the dead are included in that count.

Another hospital, University Hospital in San Antonio, said a 66-year-old woman was in critical condition.

As this situation is fluid, look for updates as the information arrives.

The Associated Press contributed to this article.

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