150618-N-PD309-196 ACAJUTLA, El Salvador (June 18, 2015) Patients wait for treatment at a medical site established at Centro Escuela Lisandro Larin Zepeda during Continuing Promise 2015. Continuing Promise is conducting civil-military operations including humanitarian-civil assistance, subject matter expert exchanges, medical, dental, veterinary and engineering support and disaster response to partner nations. (U.S. Navy photo by Mass Communication Specialist 3rd Class Deven Leigh Ellis/Released)