191018-N-MU198-1272 SANTO DOMINGO, Dominican Republic (Oct. 18, 2019) Capt. Brian J. Diebold, commander of Task Force 49, presents a gift to Dominican Republic President Danilo Medina following a tour of the hospital ship USNS Comfort (T-AH 20), while anchored off the coast of Santo Domingo, Dominican Republic, Oct. 18, 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 land-based medical sites, 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 Danny Ray Nuñez Jr./Released)