ALMIRANTE, Panama (August 18, 2023) - U.S. service members participate in a volleyball game with members of the local community in Almirante, Panama as part of the Continuing Promise 2023 mission. Continuing Promise 2023 marks the 13th mission to the region, beginning in 2007, and the first involving USNS Burlington. Since the first mission, Continuing Promise medical personnel have treated more than 595,000 people, to include approximately 7,300 surgeries. (U.S. Navy photo by Lt.j.g Nicko West)