190702-N-XL376-2149 MANTA, Ecuador (July 2, 2019) Andrea Hill, left, director of Amiguitos Del Oceano, and Hospital Corpsman 3rd Class Logan L. Howard, right, from Des Moines, Iowa, assigned to the hospital ship USNS Comfort (T-AH 20) collect plastic during a local beach clean-up event. 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)