150731-N-PD309-051 ROSEAU, Dominica (July 31, 2015) Lt. j.g. Kenny Steele, from Allendale, Mich., a nurse assigned to Naval Medical Center Portsmouth, Va., directs a patient to a treatment room at a medical site established at the Dominica Grammar School during Continuing Promise 2015. Continuing Promise is a U.S. Southern Command-sponsored and U.S. Naval Forces Southern Command/U.S. 4th Fleet-conducted deployment to conduct civil-military operations including humanitarian-civil assistance, subject matter expert exchanges, medical, dental, veterinary and engineering support and disaster response to partner nations and to show U.S. support and commitment to Central and South America and the Caribbean. (U.S. Navy photo by Mass Communication Specialist 3rd Class Deven Leigh Ellis/Released)