U.S. Navy Lt. j.g. Brad Perich, left, and Hospital Corpsman 1st Class Solomon Sum, right, both assigned to the hospital ship USNS Comfort (T-AH 20), help students at a vocational school in Santo Domingo, Dominican Republic practice speaking English during a community outreach event, Oct. 18, 2019. 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, including those strained by an increase in cross-border migrants. (U.S. Navy photo by Mass Communication Specialist 2nd Class Morgan K. Nall)