190702-N-XL376-2198 MANTA, Ecuador (July 2, 2019) Sailors and local volunteers participate in a local beach clean-up organized by the hospital ship USNS Comfort (T-AH 20). 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)