190723-N-XL376-1087 PUNTARENAS, Costa Rica (July 23, 2019) Cmdr. Travis E. Harrell from Goldsboro, N.C., assigned to the hospital ship USNS Comfort (T-AH 20) treats a patient at a temporary medical 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)