191001-N-XL376-1016 CASTRIES, Saint Lucia (Oct. 1, 2019) Lt. Blake A. Middleton, a nurse assigned to the hospital ship USNS Comfort (T-AH 20), checks vital signs of a Saint Lucian girl at a temporary medical treatment site in Castries, Saint Lucia, Oct. 1, 2019. Comfort is working with health and government partners in Central America, South America, and the Caribbean to provide care on the ship and at a temporary medical treatment site, helping to relieve pressure on national medical systems, including those strained by an increase in cross-border migrants. (U.S. Navy Photo by Mass Communication Specialist 3rd Class Maria G. Llanos/Released)