190628-N-FO574-1087 Manta, Ecuador (June 28, 2019) Vice President of Ecuador, Otto Sonnenholzner, speaks during the Comfort Deployment 2019 opening ceremony. USNS Comfort (T-AH 20) is working with health and government partners in Central America, South America, and the Caribbean to provide care on the ship and at land-based medical sites, helping to relieve pressure on national medical systems strained by an increase in Venezuelan migrants. (U.S. Navy photo by Mass Communication Specialist Seaman Jordan R. Bair)