190723-N-FO574-1011 PUNTARENAS, Costa Rica (July 23, 2019) Lt. Cmdr. Jamie Fitch, a Navy doctor, performs a laparoscopic surgery aboard hospital ship USNS Comfort (T-AH 20). Comfort 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)