Survivors have told Kenya's media about Tuesday's massacre by hundreds of gunmen in a village in the arid north-east of the country - the scene of frequent clashes between rival clans over cattle and access to land and water.
A mother waits for her child to be treated (photo: The Standard)
Three-year-old Adho Ukur is now in a hospital bed in the town of Marsabit with a deep gash in her neck where the attackers tried to behead her, according to her grandmother.
Armed gunmen came at about 0600 local time to their village as breakfast was being prepared.
"I ran into the house but they fired once, breaking the door. They killed my daughter and slashed Ukur," Darare Boru told The Standard with tears rolling down her cheek.
Shuke Galgalo, 14, is also in hospital with a deep cut in her left leg.
She described how men attacked them as they walked into Turbi Primary School.
She said they ran off in different directions and several were injured and killed including, she fears, her teachers.
A local civil servant told Kenya's news agency that the raiders were well armed.
"They surrounded the whole village and started to shoot everyone on sight. The children took refuge in the manyattas [village huts] but the raiders followed them there. They then started to slaughter people with pangas, knives and spears," he said.
"The majority of the dead are mothers and their children," said local MP and former Foreign Minister Bonaya Godana who is in the area.
Adhu Malicha, 56, who was shot in the left leg, said they killed her 10-year-old son and her husband and injured her 12-year-old daughter, Talaso.
Talaso Halake, aged 65, suffered multiple bullet wounds and says she lost a son, daughter-in-law and three grandchildren.
Another injured mother described how she hid two of her children under the bed to save them from the raiders.
Talasso Malicha told of how she was made to watch as her two children were killed and her husband beheaded.
"They then went arguing about whether to kill me or not and one of them said that there was no use of harming a woman.
"I escaped with my life that way," she said.
Another survivor Okille Hukha, 46, ran into the bush but his wife and four children were all killed.
Galgalo Hukka, fled from Turbi and said the raiders from a rival ethnic group had been armed with rifles, hand grenades, machetes and spears.
This woman was shot in the face (Pic: The Standard)
A huge police operation has now been launched to track down the gunmen and at least 10 bandits have been shot dead by police, they say.
Survivors said many of the victims died of excessive bleeding before they could be helped.
Marsabit district hospital, some 130km from the scene of the attack, has just one doctor.
The injured started arriving there mid-afternoon suffering from cuts, bullet wounds and broken arms and legs.
"I have seen 20 casualties, most of who are women and school children. The children are still in their uniforms. Most of these injured people have wounds all the over the body. And the wounds are mostly inflicted by knives and spears," one nurse told the Daily Nation newspaper.
Police reservist Roba Elema ferried 10 children and three women to the hospital but said many more of the injured were stranded.
"It was terrible because I picked those I thought could survive the long drive," he told the East African Standard.