This aerial photo shows the scene of an attack in Kawasaki, near Tokyo. Photo / AP
At least 19 people have been stabbed in an attack near Tokyo with at least two people feared dead.
Emergency services were called to the horrific scene just before 8am today to reports multiple people, waiting at a busy bus stop in Kawasaki City in the south of Tokyo, had been stabbed.
Paramedics treated at least 13 wounded primary school children with adults making up the rest of the injured.
National broadcaster NHK reports three six-year-old girls have been rushed and an adult and another child are in cardiac arrest and not showing any vital signs.
Emergency services say five people are seriously injured with the majority of the victims believed to be school girls aged between six and seven years of age.
Witnesses at the scene have told of the man's terrifying alleged rampage before he turned the knives on himself.
He was arrested at the scene, unconscious.
NHK TV in Japan reported that the suspect in the knife attack has since died.
Police wouldn't publicly confirm the reports and it wasn't clear how many had died in Tuesday's attack.
The New York Times reports the suspect screamed, "I will kill you!" before attacking the children.
The school bus driver that pulled up to the stop as the stabbing began told police he saw the man with a knife in each hand when he began slashing and stabbing people.
"A man holds a knife in both hands and walks in the direction of the bus and stabs primary school children one after another," the driver said, according to NHK.
A bus at the scene belongs to Caritas Gakuen elementary school, a private school less than 2kms away that was at the stop ready to transport the waiting children.
Caritas School told NHK it had received "information" people injured in the mass stabbing were children from their school.
A man living near the park told the broadcaster he saw school bags scattered everywhere.
"There is a nearby elementary school bus stop and elementary schoolchildren are down and school bags are also scattered," the neighbour said, in a translated quote.
"A man was down on the bus stop of the city bus about 20m away from the elementary school bus stop with blood. Usually, it is a peaceful place and it is scary it happened."
Authorities say the knife-wielding man started attacking people at random as commuters lined up for a bus.
Forensic police have seized two knives at the scene and the man, in his 50s, has been arrested.
National broadcaster NHK is reporting two children and an adult are unconscious after the suspected stabbing at Noborito First Park, near Noborito Station.
Emergency services said the three people are in cardiac arrest and a fourth person is in a serious condition.
"It seems a lot of the injured are elementary schoolchildren," an emergency staff member told the broadcaster.
Kawasaki Tama Hospital is less than a kilometre down the road.
Emergency services were first called to the scene just before 8am local time to reports a number of children had been stabbed.