191019-N-IA905-1017 SANTO DOMINGO, Dominican Republic (Oct. 19, 2019) Hospitalman Ariana Alstatt, assigned to the hospital ship USNS Comfort (T-AH 20), checks a young girl’s vital signs at a temporary medical treatment site in Santo Domingo, Dominican Republic, Oct. 19, 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 2nd Class Morgan K. Nall/Released)