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The Scandinavian country’s prime minister Stefan Lofven said a possible terrorist motive was being investigated.
“In the light of what has emerged so far in the police investigation, prosecutors have initiated a preliminary investigation into terrorist crimes,” he said.
Shortly after his statement, investigators at a police press conference said they had started a preliminary attempted murder investigation.
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They also said they would probe the possibility of “any terrorist motives”.
“But at the moment I cannot go into details,” regional police chief Malena Grann said following the shocking incident on Wednesday afternoon.
Police said the man in his 20s attacked people in the small town of Vetlanda, about 118 miles south east of Gothenburg, Sweden’s second largest city.
His motive was not immediately known.
The man was shot by police, who said the condition of those attacked and of the perpetrator was not immediately known.
Officials did not provide details on the identity of the suspect, who was taken to hospital.
Local police chief Jonas Lindell said “it seems that the injuries are not life-threatening” but could not give further details.
The events took place in central Vetlanda with police saying they got calls just after 2pm about a man assaulting people with an axe.
Police said that there are five crime scenes in the town of roughly 13,000.
Mr Lofven condemned “this terrible act” and added that Sweden’s domestic security agency SAPO was also working on the case.
“They continuously assess whether there are reasons to take security-enhancing measures and are prepared to do so if necessary,” he said.