191021-N-XL376-1057 SANTO DOMINGO, Dominican Republic (Oct. 21, 2019) Capt. Patrick Amersbach, commanding officer, Medical Treatment Facility aboard the hostpital ship USNS Comfort (T-AH 20), shakes hands with Robin S. Bernstein, U.S. ambassador to the Dominican Republic, during the closing ceremony for the ship’s six-day medical mission in Santo Domingo, Dominican Republic, Oct. 21, 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)