190627-N-BV658-1179 MANTA, Ecuador (June 27, 2019) Lt. Anne Foky, assigned to the hospital ship USNS Comfort (T-AH 20), visits children at a refuge center in Manta, Ecuador, June 27, 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 strained by an increase in Venezuelan migrants. (U.S. Navy photo by Mass Communication Specialist 3rd Class Kryzentia Richards/Released)