LA UNION, Philippines (Aug. 24, 2023) Lt. Cmdr. Ryan Neal performs a tooth extraction on a patient with assistance from U.S. Navy, Philippine navy service members and a Philippine nursing student during a Pacific Partnership dental community health engagement at Baraoas Elementary School in San Fernando City, La Union, Philippines, Aug. 24, 2023. Now in its 18th year, Pacific Partnership is the largest annual multinational humanitarian assistance and disaster relief preparedness mission conducted in the Indo-Pacific. (U.S. Navy photo by Mass Communication Specialist 2nd Class Deirdre Marsac)