190630-N-XL376-1981 MANTA, Ecuador (June 30, 2019) Aviation Machinest Mate 3rd Class Austin Nehls, from Kenosha, Wisconsin, embarked aboard the hospital ship USNS Comfort (T-AH 20) gives an eye exam at a temporary medical treatment site. 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)