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El Paso Police Department Sgt. Robert Gomez briefs media on a shooting that occurred at a Walmart.
Officials from two local hospitals said they had received at least 23 people.
Thirteen people were taken to University Medical Center of El Paso, spokesman Ryan Mielke told CNN, and one of them has died. Two children with non-life-threatening injuries were transferred to a children's medical facility, Mielke said.
Eleven victims were transported to the Del Sol Medical Center, hospital spokesman Victor Guerrero said. Nine are in critical but stable condition, he said.
At least two of the patients are in a "life-threatening predicament," according to Del Sol Medical Center Dr. Stephen Flaherty. He said the patients ranged in age from 25 to 82. Two are in stable condition, he said, and seven required emergency operations.
"This was a massacre," US Rep. Veronica Escobar, who represents the area, told CNN. Escobar has received conflicting reports on the numbers of casualties, she said, but added, "The numbers are shocking."