EL PASO, Texas - Two injured victims have died from a weekend mass shooting at a Walmart in El Paso, raising the death toll from the rampage to 22, officials said Monday.
Hospital officials confirmed the latest death after police tweeted confirming another wounded victim's death earlier in the morning. No other details were immediately provided.
Dr. Stephen Flaherty said at a news conference that gunshot wounds of the patients treated at the Del Sol Medical Center have been "devastating and major.“
He said one patient who died at the hospital had major internal abdominal injuries affecting the liver, kidneys and intestines. That patient also received a "massive blood transfusion," Flaherty said.
The hospital didn't release the names or ages of the two patients who died Monday, but hospital officials described one as an elderly woman.
Police also haven't released a list of the victims of the attack, which happened hours before a separate mass shooting in Dayton, Ohio, that claimed nine lives.
Speaking at the White House on Monday, President Donald Trump condemned the two attacks in which 30 people were killed and dozens of others were wounded. He called for bipartisan cooperation to respond to an epidemic of gun violence, but he offered scant details on concrete steps that could be taken.
"We vow to act with urgent resolve," Trump said.
Federal authorities said they are weighing hate-crime charges against the suspected gunman El Paso that could carry the death penalty. The suspect, 21-year old Patrick Crusius, has been booked on state capital murder charges, which also carry a possible death penalty.
The attack on Saturday morning was followed less than a day later by another shooting that claimed nine lives in a nightlife district of Dayton, Ohio. That shooter was killed by police. Together the two assaults wounded more than 50 people, some of them critically, and shocked even a nation that has grown accustomed to regular spasms of gun violence.
Investigators focused on whether the El Paso attack was a hate crime after the emergence of a racist, anti-immigrant screed that was posted online shortly beforehand. Detectives sought to determine if it was written by the man who was arrested.
El Paso Police Chief Greg Allen told reporters Sunday that "we have to attribute that manifesto directly to him."
The document posted online expressed concern that an influx of Hispanics into the United States will replace aging white voters, potentially turning Texas blue in elections and swinging the White House to the Democrats.
The border city has figured prominently in the immigration debate and is home to 680,000 people, most of them Latino.
When asked whether the shooting was a hate crime, Allen said "it's beginning to look more solidly like that is the case."
Using a rifle, the El Paso gunman opened fire in an area packed with as many as 3,000 people during the busy back-to-school shopping season.
Federal officials were treating the attack as a domestic terrorism case, according to the U.S. attorney. The Justice Department was weighing federal hate-crime charges that would carry the death penalty.
Despite initial reports of possible multiple gunmen, the man in custody was believed to be the only shooter, police said.
The suspect is from Allen, which is a nearly 10-hour drive from El Paso. He was arrested without police firing any shots, authorities said. There was no immediate indication that he had an attorney.
El Paso Police Chief Greg Allen said the suspect was cooperative and "forthcoming with information."
"He basically didn't hold anything back. Particular questions were asked, and he responded in the way that needed to be answered," Allen said.
Police did not know where the weapon was purchased. Allen acknowledged that it is legal under Texas law to carry a long gun openly in a public place.
"Of course, normal individuals seeing that type of weapon might be alarmed," but before he began firing, the suspect was technically "within the realm of the law," Allen said.
The attack targeted a shopping area about 5 miles (8 kilometers) from the main border checkpoint with Ciudad Juarez, Mexico. Many of the victims were shot at a Walmart.
"The scene was a horrific one," Allen said.
The shooting came less than a week after a 19-year-old gunman killed three people and injured 13 others at the popular Gilroy Garlic Festival in California before dying of a self-inflicted gunshot wound.
Relatives said a 25-year-old woman who was shot while apparently trying to shield her 2-month-old son was among those killed. Mexican officials said three Mexican nationals were among the dead and six more were wounded.
Authorities were searching for any links between the suspect and the material in the document that was posted online shortly before the shooting, including the writer's expression of concern that an influx of Hispanics into the United States will replace aging white voters. That could potentially turn Texas blue in elections and swing the White House to Democrats.
"It's beginning to look more solidly that is the case," the police chief said.
The writer was also critical of Republicans for what he described as close ties to corporations and degradation of the environment. Though a Twitter account that appears to belong to Crusius included pro-Trump posts praising the plan to build more border wall, the writer of the online document says his views on race predated Trump's campaign and that any attempt to blame the president for his actions was "fake news."
The writer denied he was a white supremacist, but the document says "race mixing" is destroying the nation and recommends dividing the United States into territorial enclaves determined by race. The first sentence of the four-page document expresses support for the man accused of killing 51 people at two New Zealand mosques in March after posting his own screed with a conspiracy theory about nonwhite migrants replacing whites.
El Paso Mayor Dee Margo said he knew the shooter was not from the city.
"It's not what we're about," the mayor said at the news conference.
El Paso County is more than 80% Latino, according to the latest census data. Tens of thousands of Mexicans legally cross the border each day to work and shop in the city.
Trump visited in February to argue that walling off the southern border would make the U.S. safer. City residents and Democratic presidential candidate Beto O'Rourke, who is from El Paso, led thousands on a protest march past the barrier of barbed wire-topped fencing and towering metal slats.
O'Rourke, a former Texas congressman, stressed that border walls have not made his hometown safer. The city's murder rate was less than half the national average in 2005, the year before the start of its border fence. Before the wall project started, El Paso had been rated one of the three safest major U.S. cities going back to 1997.
Trump ordered flags flown at half-staff in memory of the victims of the two shootings. He has been out of public, but he tweeted about the attacks.
The shooting was the 21st mass killing in the United States in 2019, and the fifth public mass shooting. Before Saturday, 96 people had died in mass killings in 2019 -- 26 of them in public mass shootings.
The AP/USA Today/Northeastern University mass murder database tracks all U.S. homicides since 2006 involving four or more people killed, not including the offender, over a short period of time regardless of weapon, location, victim-offender relationship or motive. The database shows that the median age of a public mass shooter is 28, significantly lower than the median age of a person who commits a mass shooting of his family.
Since 2006, 11 mass shootings - not including Saturday's - have been committed by men who are 21 or younger.