190630-N-XL376-1954 MANTA, Ecuador (June 30, 2019) Hospitalman David A. Nash, from Waconia, Minnesota, assigned to the hospital ship USNS Comfort (T-AH 20), takes a patient's vitals in Manta, Ecuador, June 30, 2019, during the first mission stop of its 2019 deployment. 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 Maria G. Llanos/Released)