South African Defense Force Candidate Officer Connie Swanepoel and U.S. Army Maj. Sage Umpheries, both veterinarians, enjoy a short break between surgeries during a spay and neuter event at Empangeni Clinic during MEDREX 2022-South Africa, July 26, 2022. MEDREX is a medical training exercise, planned and executed by the United States Army Southern European Task Force, Africa, that allows the U.S. military to increase cooperation and overcome degraded environments and find effective medical resolutions. MEDREX 2022-South Africa is part of the larger Exercise Shared Accord taking place July 11-27, 2022 in the KwaZulu-Natal province. (U.S. Army National Guard photo by Staff Sgt. Jeff Clements)

South African Defense Force (SANDF) Candidate Officer Connie Swanepoel, a veterinarian assigned to the South African Veterinarian institute, preps a cat for surgery at the Empangeni Clinic during MEDREX 2022-South Africa, July 26, 2022. MEDREX is a medical training exercise, planned and executed by the United States Army Southern European Task Force, Africa, that allows the U.S. military to increase cooperation and overcome degraded environments and find effective medical resolutions. MEDREX 2022-South Africa is part of the larger Exercise Shared Accord taking place July 11-27, 2022, in the KwaZulu-Natal province. (U.S. Army National Guard photo by Staff Sgt. Jeff Clements)

U.S. Army Maj. Sage Umpheries, a veterinarian assigned to the 353rd Civil Affairs Command, prepares to operate during a spay and neuter event at the Empangeni Clinic during MEDREX 2022-South Africa, July 26, 2022. MEDREX is a medical training exercise, planned and executed by the United States Army Southern European Task Force, Africa, that allows the U.S. military to increase cooperation and overcome degraded environments and find effective medical resolutions. MEDREX 2022-South Africa is part of the larger Exercise Shared Accord taking place July 11-27, 2022, in the KwaZulu-Natal province. (U.S. Army National Guard photo by Staff Sgt. Jeff Clements)

U.S. Army Maj. Sage Umpheries, a veterinarian assigned to the 353rd Civil Affairs Command, and South African Defense Force Staff Sgt. Elizabeth Barends, a vet orderly assigned to the South African Veterinarian institute, work to spay a cat at the Empangeni Clinic during MEDREX 2022-South Africa, July 26, 2022. MEDREX is a medical training exercise, planned and executed by the United States Army Southern European Task Force, Africa, that allows the U.S. military to increase cooperation and overcome degraded environments and find effective medical resolutions. MEDREX 2022-South Africa is part of the larger Exercise Shared Accord taking place July 11-27, 2022, in the KwaZulu-Natal province. (U.S. Army National Guard photo by Staff Sgt. Jeff Clements)

U.S. Marine Corps Gen. David H. Berger, 38th Commandant of the Marine Corps, poses for a group photo with Marines assigned to CJTF-HOA, Aug. 10 2022. Gen. Berger spent his time learning about the different CJTF-HOA missions, and speaking to Marines. (U.S. Air Force photo by Staff Sgt. Dallin Wrye)

U.S. Marine Corps Gen. David H. Berger, 38th Commandant of the Marine Corps, speaks at a town hall held during his visit to Camp Lemonnier, Djibouti, Aug. 10, 2022. Gen. Berger spent his time learning about the different Combined Joint Task Force - Horn of Africa (CJTF-HOA) missions, and speaking to Marines. (U.S. Air Force photo by Staff Sgt. Dallin Wrye)

U.S. Marine Corps Gen. David H. Berger, 38th Commandant of the Marine Corps, poses for a group photo with Marines that were coined during his visit, Aug 10, 2022. Gen. Berger spent his time learning about the different CJTF-HOA missions, and speaking to Marines. (U.S. Air Force photo by Staff Sgt. Dallin Wrye)

U.S. Marine Corps Gen. David H. Berger, 38th Commandant of the Marine Corps, speaks to Marines assigned to CJTF-HOA during an all call at Camp Lemonnier, Aug. 10, 2022. Gen. Berger spent his time learning about the different CJTF-HOA missions, and speaking to Marines. (U.S. Air Force photo by Staff Sgt. Dallin Wrye)

U.S. Marine Corps Gen. David H. Berger, 38th Commandant of the Marine Corps, and U.S. Army Brig. Gen. Stephen Case, deputy commanding general of Combined Joint Task Force – Horn of Africa (CJTF-HOA), shake hands upon Gen. Bergers arrival at Camp Lemonnier, Djibouti, Aug. 10, 2022. Gen. Berger spent his time learning about the different CJTF-HOA missions, and speaking to Marines. (U.S. Air Force photo by Staff Sgt. Dallin Wrye)

U.S. service members from the U.S. Army National Guard and U.S. Air Force, assigned to Combined Joint Task Force-Horn of Africa (CJTF-HOA), participate in a joint-force combined arms marksmanship competition July 20-25, 2022, at Camp Simba, Kenya. The event hosted 52 participants with individual and team competitions using multiple weapon systems. (U.S. Army National Guard photo by Sgt. Thomas Johnson)

U.S. service members from the U.S. Army National Guard and U.S. Air Force, assigned to Combined Joint Task Force-Horn of Africa (CJTF-HOA), participated in a joint-force combined arms marksmanship competition July 20-25, 2022, at Camp Simba, Kenya. The event hosted 52 participants with individual and team competitions using multiple weapon systems. (U.S. Army National Guard photo by Sgt. Thomas Johnson)

U.S. service members from the U.S. Army National Guard and U.S. Air Force, assigned to Combined Joint Task Force-Horn of Africa (CJTF-HOA), participated in a joint-force combined arms marksmanship competition July 20-25, 2022, at Camp Simba, Kenya. The event hosted 52 participants with individual and team competitions using multiple weapon systems. (U.S. Army National Guard photo by Sgt. Thomas Johnson)

Virginia National Guard Soldiers assigned to 1st squad, 1st platoon, B Company, 1-116th Infantry Regiment, Task Force Red Dragon, Combined Joint Task Force - Horn of Africa (CJTF-HOA) respond to a vehicle accident during an area security patrol May 25, 2022, Manda Bay, Kenya. (courtesy photo)

A Djiboutian nurse performs infant CPR on a mannequin during a knowledge exchange event at Dar El Hanan hospital, Djibouti City, Djibouti, July 21, 2022. Members of the Civil Affairs-Africa functional specialty team and the Camp Lemonnier Expeditionary Medical Facility educated 28 Djiboutian nurses in Basic Life Saving techniques, maternal care, and infant care during the knowledge exchange event. (Department of Defense photo by U.S. Air Force Staff Sgt. Thomas Johns) Une infirmière djiboutienne effectue la réanimation d'un nourrisson sur un mannequin lors d'un échange de connaissances à l'hôpital Dar El Hanan, à Djibouti, le 21 juillet 2022. Des membres de l'équipe des Affaires civiles et du centre médical expéditionnaire du Camp Lemonnier ont formé 28 infirmières djiboutiennes aux techniques de base de sauvetage, aux soins maternels et des nourrissons lors de l'événement d'échange de connaissances. (Photo du Departement de la Défense par le sergent-chef Thomas Johns de l'US Air Force)

A Djiboutian nurse simulates listening breathing on a mannequin during a knowledge exchange event with Camp Lemonnier Expeditionary Medical Facility and Civil Affairs-Africa at the Dar El Hanan hospital in Djibouti City, Djibouti, July 21, 2022. The knowledge exchange emphasized the importance of medical care for new mothers and infants. (Department of Defense photo by U.S. Air Force Staff Sgt. Thomas Johns) Une infirmière djiboutienne simule une respiration d'écoute sur un mannequin lors d’un échange de connaissances avec le centre médical expéditionnaire du Camp Lemonnier et l’équipe des Affaires civiles à l'hôpital Dar El Hanan à Djibouti, le 21 juillet 2022. L'échange de connaissances a souligné l'importance des soins médicaux pour les mères et les nourrissons. (Photo du Departement de Défense par le sergent-chef Thomas Johns de l'armée de l'air américaine)

U.S. Army Maj. Gen. Jami Shawley, commanding general of Combined Joint Task Force-Horn of Africa (CJTF-HOA), joined the Honorable Mr. Jonathan Pratt, U.S. Ambassador to Djibouti, and Dr. Ahmed Robleh Abdilleh, Ministère de la Santé de Djibouti, to speak at the opening of the expansion of Djibouti’s Ministry of Health’s PK12 Field Hospital in Balbala, Djibouti, July 20, 2022.Working shoulder-to-shoulder with Djibouti’s Ministry of Health, U.S. Embassy development specialists, and Civil Affairs, the service members of CJTF-HOA’s 319th Engineer Support Company successfully added a five-bed intensive care unit, and a 30-bed isolation facility with bathrooms, which doubles the capacity of the PK12 Field Hospital. This work enables medical professionals from Civil Affairs to conduct critical training with their counterparts from the Ministry of Health. (U.S. Army photo by Sgt 1st Class Michael Davis)

From left to right, the Honorable Mr. Jonathan Pratt, U.S. Ambassador to Djibouti, Dr. Ahmed Robleh Abdilleh, ministre de la Santé de Djibouti, and U.S. Army Maj. Gen. Jami Shawley, commanding general of Combined Joint Task Force-Horn of Africa (CJTF-HOA), gather for a photo at the opening of the expansion of Djibouti’s Ministry of Health’s PK12 Field Hospital in Balbala, Djibouti, July 20, 2022. Working shoulder-to-shoulder with Djibouti’s Ministry of Health, U.S. Embassy development specialists, and Civil Affairs, the service members of CJTF-HOA’s 319th Engineer Support Company successfully added a five-bed intensive care unit, and a 30-bed isolation facility with bathrooms, which doubles the capacity of the PK12 Field Hospital. This work enables medical professionals from Civil Affairs to conduct critical training with their counterparts from the Ministry of Health. (U.S. Army photo by Sgt. 1st Class Michael Davis Jr.)

U.S. Army Maj. Gen. Jami Shawley, commanding general of Combined Joint Task Force-Horn of Africa (CJTF-HOA), joined the Honorable Mr. Jonathan Pratt, U.S. Ambassador to Djibouti, and Dr. Ahmed Robleh Abdilleh, Ministère de la Santé de Djibouti, to speak at the opening of the expansion of Djibouti’s Ministry of Health’s PK12 Field Hospital in Balbala, Djibouti, July 20, 2022. Working shoulder-to-shoulder with Djibouti’s Ministry of Health, U.S. Embassy development specialists, and Civil Affairs, the service members of CJTF-HOA’s 319th Engineer Support Company successfully added a five-bed intensive care unit, and a 30-bed isolation facility with bathrooms, which doubles the capacity of the PK12 Field Hospital. This work enables medical professionals from Civil Affairs to conduct critical training with their counterparts from the Ministry of Health. (U.S. Army photo by Sgt 1st Class Michael Davis)

Participants of the Logistics in East Africa Forum (LEAF) are pictured together at the Kempinski Palace, Djibouti, July 12, 2022. The forum was the first of its kind for the East Africa region, involving multinational partners. The forum is a multinational logistics meeting bringing together CJTF-HOA’s partners, exchanging knowledge about capabilities to improve interoperability, burden sharing and to enhance the combined ability to support logistical activities. (U.S. Air Force photo by Staff Sgt. Dallin Wrye)

U.S. Army Maj. Gen. Jami Shawley, commanding general of the Combined Joint Task Force – Horn of Africa (CJTF-HOA), delivers comments during the Logistics in East Africa Forum (LEAF) at the Kempinski Palace, Djibouti, July 12, 2022. The LEAF is a multinational logistics meeting bringing together CJTF-HOA’s partners, exchanging knowledge about capabilities to improve interoperability, burden sharing and to enhance the combined ability to support logistical activities. (U.S. Air Force photo by Tech. Sgt. Lynette M. Rolen)

U.S. Army Maj. Gen. Jami Shawley, commanding general of the Combined Joint Task Force – Horn of Africa (CJTF-HOA), delivers comments during the Logistics in East Africa Forum (LEAF) at the Kempinski Palace, Djibouti, July 12, 2022. The LEAF is a multinational logistics meeting bringing together CJTF-HOA’s partners, exchanging knowledge about capabilities to improve interoperability, burden sharing and to enhance the combined ability to support logistical activities. (U.S. Air Force photo by Tech. Sgt. Lynette M. Rolen)

U.S. Army Maj. Gen. Jami Shawley, commanding general of the Combined Joint Task Force – Horn of Africa (CJTF-HOA), delivers comments during the Logistics in East Africa Forum (LEAF) at the Kempinski Palace, Djibouti, July 12, 2022. The LEAF is a multinational logistics meeting bringing together CJTF-HOA’s partners, exchanging knowledge about capabilities to improve interoperability, burden sharing and to enhance the combined ability to support logistical activities. (U.S. Air Force photo by Tech. Sgt. Lynette M. Rolen)

U.S. Army Maj. Gen. Jami Shawley, commanding general of the Combined Joint Task Force – Horn of Africa (CJTF-HOA), delivers comments during the Logistics in East Africa Forum (LEAF) at the Kempinski Palace, Djibouti, July 12, 2022. The LEAF is a multinational logistics meeting bringing together CJTF-HOA’s partners, exchanging knowledge about capabilities to improve interoperability, burden sharing and to enhance the combined ability to support logistical activities. (U.S. Air Force photo by Staff Sgt. Dallin Wrye)

U.S. Army Maj. Gen. Jami Shawley, commanding general of Combined Joint Task Force-Horn of Africa (CJTF-HOA), tours a local school in Djibouti, June 6, 2022. Service members serving at Camp Lemonnier volunteer often, conducting knowledge exchanges and playing basketball, soccer, and other activities with the children. (U.S. Army photo by Spc. Kiersten Breunig)

U.S. Army Maj. Gen. Jami Shawley, commanding general of Combined Joint Task Force-Horn of Africa (CJTF-HOA), tours Caritas, a local refugee day center, in Djibouti, June 6, 2022. Service members serving at Camp Lemonnier volunteer often, conducting knowledge exchanges and playing basketball, soccer, and other activities with the children. (U.S. Army photo by Spc. Kiersten Breunig)

U.S. Army Maj. Gen. Jami Shawley, commanding general of Combined Joint Task Force-Horn of Africa (CJTF-HOA), tours Caritas, a local refugee day center, in Djibouti, June 6, 2022. Service members serving at Camp Lemonnier volunteer often, conducting knowledge exchanges and playing basketball, soccer, and other activities with the children. (U.S. Army photo by Spc. Kiersten Breunig)

U.S. Army Maj. Gen. Jami Shawley, commanding general of Combined Joint Task Force-Horn of Africa (CJTF-HOA) joins the Civil Affairs team volunteering at Caritas, a local refugee day center, in Djibouti, June 6, 2022. Service members serving at Camp Lemonnier volunteer often, conducting knowledge exchanges, delivering food, and playing basketball, soccer, and other activities with the children. (U.S. Army photo by Spc. Kiersten Breunig)

U.S. Army Maj. Gen. Jami Shawley, commanding general of Combined Joint Task Force-Horn of Africa (CJTF-HOA), tours Caritas, a local refugee day center, in Djibouti, June 6, 2022. Service members serving at Camp Lemonnier volunteer often, conducting knowledge exchanges and playing basketball, soccer, and other activities with the children. (U.S. Army photo by Spc. Kiersten Breunig)

U.S. Army 2nd Lt. Aaron Frederick, platoon leader with Task Force Red Dragon, Combined Joint Task Force - Horn of Africa (CJTF-HOA), conducts weapons familiarization with a French Soldier at Arta range complex, Djibouti, May 15, 2022. Operating from Camp Lemonnier, Djibouti, CJTF-HOA regularly works alongside allied and partner nations and governmental organizations to achieve a unified effort in improving the peace and prosperity in East Africa. (U.S. Army photo by Spc. Kiersten Breunig)

French Soldiers from the 5th Overseas Interarms Regiment and Kentucky Army National Guard Soldiers with Task Force Red Dragon, Combined Joint Task Force - Horn of Africa (CJTF-HOA), pose for a photo after conducting weapons familiarization fire at Arta Range, Djibouti, May 15, 2022. CJTF-HOA regularly works alongside allied and partner nations and governmental organizations to achieve a unified effort in improving the peace and prosperity in East Africa. (U.S. Army photo by Spc. Kiersten Breunig)

French Soldiers with the 5th Overseas Interarms Regiment and U.S. Soldiers with Task Force Red Dragon, Combined Joint Task Force - Horn of Africa (CJTF-HOA), dismount their vehicle in reaction to simulated ambush at Arta Range, Djibouti, May 15, 2022. CJTF-HOA regularly works alongside allied and partner nations and governmental organizations to achieve a unified effort in improving the peace and prosperity in East Africa. (U.S. Army photo by Spc. Kiersten Breunig)