190627-N-BV658-1186 MANTA, Ecuador (June 27, 2019) Lt. Anne Foky, assigned to the hospital ship USNS Comfort (T-AH 20), visits children at a refuge center. 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)