A nurse in Holland has reportedly been charged with the murder of 14 babies, young children and elderly patients.
The alleged murders span a period of four years, say Dutch public prosecutors.
The woman is accused of killing five children and nine pensioners in her care by giving them a drug overdose.
She worked in hospitals in The Hague between February 1997 and September 2001.
The 40-year-old woman is also charged with four attempted murders.
She will go on trial in The Hague in June.
Her alleged victims included babies under 12 months old and elderly patients as old as 91, public prosecutors in The Hague claimed.
The nurse, whose identity was not revealed, is also accused of forging school certificates to qualify for her medical training.