PELELIU, Palau (Dec. 26, 2023) Japan Ground Self Defense Force Capt. Hitomi Oie, left, from Hiroshima Japan, and U.S. Navy Cmdr. Cheryl Castro, from San Diego, check the blood sugar of a local patient at the Peleliu health center in Peleliu, Palau, during Pacific Partnership 2024-1, Dec. 26, 2023. Pacific Partnership, now in its 19th iteration, is the largest multinational humanitarian assistance and disaster relief preparedness mission conducted in the Indo-Pacific and works to enhance regional interoperability and disaster response capabilities, increase security stability in the region, and foster new and enduring friendships. (U.S. Navy photo by Mass Communication Specialist Seaman Justin Ontiveros)