[...] He also told colleagues at America's top military hospital that non-Muslims were infidels condemned to hell who should be set on fire. The outburst came during an hour-long talk Hasan, an Army psychiatrist, gave on the Koran in front of dozens of other doctors at Walter Reed Army Medical Centre in Washington DC, where he worked for six years before arriving at Fort Hood in July.

Colleagues had expected a discussion on a medical issue but were instead given an extremist interpretation of the Koran, which Hasan appeared to believe.

It was the latest in a series of "red flags" about his state of mind that have emerged since the massacre at Fort Hood, America's largest military installation, on Thursday.

[...] Fellow doctors have recounted how they were repeatedly harangued by Hasan about religion and that he openly claimed to be a "Muslim first and American second."

One Army doctor who knew him said a fear of appearing discriminatory against a Muslim soldier had stopped fellow officers from filing formal complaints.

Another, Dr Val Finnell, who took a course with him in 2007 at the Uniformed Services University of the Health Sciences in Maryland, did complain about Hasan's "anti-American rants." He said: "The system is not doing what it's supposed to do. He at least should have been confronted about these beliefs, told to cease and desist, and to shape up or ship out. I really questioned his loyalty."

Selena Coppa, an activist for Iraq Veterans Against the War, said: "This man was a psychiatrist and was working with other psychiatrists every day and they failed to notice how deeply disturbed someone right in their midst was."

One of Hasan's neighbours described how on the day of the massacre, about 9am, he gave her a Koran and told her: "I'm going to do good work for God" before leaving for the base.