190702-N-MX527-1042 MANTA, Ecuador (July 2, 2019) Lt. j.g. William Cowden, from Dallas, assigned to the hospital ship USNS Comfort (T-AH 20), measures a patient's blood pressure 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 Brendan Fitzgerald)