ZACATECOLUCA, El Salvador - Medical staff from Combined Joint Task Force Hope check in local nationals during a Medical Readiness Training Exercise in Canton Espino Abajo as part of Beyond the Horizon 2018 May 28. Beyond the Horizon 2018 is a combined readiness exercise between U.S. Southern Command and El Salvador which provides medical campaigns and construction projects for several communities throughout the La Paz Department in the Central American country.