Sayed Alam Shinwari, senior academic advisor for Center for Global Health Engagement, Uniformed Services University, Maryland, briefs members from Combined Joint Task Force-Horn of Africa during a Fundamentals of Global Health Engagement (FOGHE) course at Camp Lemonnier, Djibouti, June 11, 2019. The FOGHE is a three-day course to improve understanding of the full array of issues surrounding and shaping global health engagements. (U.S. Air Force photo by Staff Sgt. Franklin R. Ramos)

Combined Joint Task Force-Horn of Africa service members listen to a brief during a Fundamentals of Global Health Engagement (FOGHE) course at Camp Lemonnier, Djibouti, June 11, 2019. The FOGHE is a three-day course to improve understanding of the full array of issues surrounding and shaping global health engagements. (U.S. Air Force photo by Staff Sgt. Franklin R. Ramos)

Combined Joint Task Force-Horn of Africa service members participate in a group activity during a Fundamentals of Global Health Engagement (FOGHE) course at Camp Lemonnier, Djibouti, June 11, 2019. The FOGHE is a three-day course to improve understanding of the full array of issues surrounding and shaping global health engagements. (U.S. Air Force photo by Staff Sgt. Franklin R. Ramos)

U.S. Navy Lt. Justin Stokes, special security representative for Combined Joint Task Force-Horn of Africa (CJTF-HOA), participates in a German Armed Forces Badge (GAFB) competition at Camp Lemonnier, Djibouti, June 6, 2019. Competing for the GAFB offered a unique opportunity to CJTF-HOA members, and worked as an information exchange between the U.S. and German militaries. (U.S. Air Force photo by Staff Sgt. Franklin R. Ramos)

Personnel from Combined Joint Task Force-Horn of Africa (CJTF-HOA) and Camp Lemonnier, Djibouti, participate in a German Armed Forces Badge (GAFB) competition at Camp Lemonnier, June 6, 2019. Competing for the GAFB offered a unique opportunity to CJTF-HOA members, and worked as an information exchange between the U.S. and German militaries. (U.S. Air Force photo by Staff Sgt. Franklin R. Ramos)

U.S. Navy Petty Officer 2nd Class Sarah Brandt, a master at arms assigned to Camp Lemonnier, Djibouti, fires an M-9 pistol during the marksmanship portion of the German Armed Forces Badge for military proficiency, at the Arta Range Complex, Djibouti, June 12, 2019. Competing for the badge offered a unique opportunity for joint personnel from Combined Joint Task Force-Horn of Africa and Camp Lemonnier, and also works as an information exchange between the U.S. and German militaries. (U.S. Navy photo by Mass Communication Specialist 1st Class Nick Scott)

U.S. Army Sgt. Daokota Burd, assigned to the East Africa Response Force (EARF), Alpha Company, 126th Infantry Regiment, 101st Airborne, in support of Combined Joint Task Force-Horn of Africa (CJTF-HOA), checks his target during the marksmanship portion of the German Armed Forces Badge for military proficiency (GAFB), at the Arta Range Complex, Djibouti, June 12, 2019. Competing for the badge offered a unique opportunity for joint personnel from CJTF-HOA and Camp Lemonnier, Djibouti, and also works as an information exchange between the U.S. and German militaries. (U.S. Navy photo by Mass Communication Specialist 1st Class Nick Scott)

Combined Joint Task Force-Horn of Africa (CJTF-HOA) personnel, joint partners and members of the international community stand at attention during a change of command ceremony for CJTF-HOA at Camp Lemonnier, Djibouti, June 12, 2019. U.S. Army Maj. Gen. James D. Craig, outgoing commanding general of CJTF-HOA, transferred responsibility to U.S. Army Maj. Gen. Michael D. Turello in the ceremony with U.S. Marine Corps Gen. Thomas Waldhauser, commander of U.S. Africa Command, as the presiding officer. (U.S. Air Force photo by Tech. Sgt. Shawn Nickel)

U.S. Marine Corps Gen. Thomas Waldhauser, commander of U.S. Africa Command, gives remarks during a change of command ceremony for Combined Joint Task Force-Horn of Africa (CJTF-HOA) at Camp Lemonnier, Djibouti, June 12, 2019. U.S. Army Maj. Gen. James D. Craig, outgoing commanding general of CJTF-HOA, transferred responsibility to U.S. Army Maj. Gen. Michael D. Turello in the ceremony with Waldhauser as the presiding officer. (U.S. Air Force photo by Tech. Sgt. Shawn Nickel)

U.S. Marine Corps Gen. Thomas Waldhauser, commander of U.S. Africa Command, middle, gives remarks during a change of command ceremony for Combined Joint Task Force-Horn of Africa (CJTF-HOA) at Camp Lemonnier, Djibouti, June 12, 2019. U.S. Army Maj. Gen. James D. Craig, outgoing commanding general of CJTF-HOA, transferred responsibility to U.S. Army Maj. Gen. Michael D. Turello in the ceremony with Waldhauser as the presiding officer. (U.S. Air Force photo by Tech. Sgt. Shawn Nickel)

Combined Joint Task Force-Horn of Africa (CJTF-HOA) personnel, joint partners and members of the international community stand at attention during a change of command ceremony for CJTF-HOA at Camp Lemonnier, Djibouti, June 12, 2019. U.S. Army Maj. Gen. James D. Craig, outgoing commanding general of CJTF-HOA, transferred responsibility to U.S. Army Maj. Gen. Michael D. Turello in the ceremony with U.S. Marine Corps Gen. Thomas Waldhauser, commander of U.S. Africa Command, as the presiding officer. (U.S. Air Force photo by Tech. Sgt. Shawn Nickel)

U.S. Marine Corps Gen. Thomas Waldhauser, commander of U.S Africa Command, middle, presides over a change of command ceremony transferring authority of Combined Joint Task Force-Horn of Africa (CJTF-HOA) from U.S. Army Maj. Gen. James D. Craig, outgoing commanding general, left, to U.S. Army Maj. Gen. Michael D. Turello at Camp Lemonnier, Djibouti, June 12, 2019. Turello will now be responsible for overseeing CJTF-HOA’s efforts in continuing to develop enduring partnerships, helping to build the defense capabilities of African partners and regional organizations, and the ongoing efforts to deter and defeat threats operating in Africa. (U.S. Air Force photo by Tech. Sgt. Shawn Nickel)

U.S. Army Maj. Gen. Michael D. Turello, commanding general, Combined Joint Task Force-Horn of Africa (CJTF-HOA), gives remarks during a change of command ceremony at Camp Lemonnier, Djibouti, June 12, 2019. Turello will now be responsible for overseeing CJTF-HOA’s efforts in continuing to develop enduring partnerships, helping to build the defense capabilities of African partners and regional organizations, and the ongoing efforts to deter and defeat threats operating in Africa. (U.S. Air Force photo by Tech. Sgt. Shawn Nickel)

U.S. Army Maj. Gen. Michael D. Turello, commanding general, Combined Joint Task Force-Horn of Africa (CJTF-HOA), gives remarks during a change of command ceremony at Camp Lemonnier, Djibouti, June 12, 2019. Turello will now be responsible for overseeing CJTF-HOA’s efforts in continuing to develop enduring partnerships, helping to build the defense capabilities of African partners and regional organizations, and the ongoing efforts to deter and defeat threats operating in Africa. (U.S. Air Force photo by Tech. Sgt. Shawn Nickel)

U.S. Army Maj. Gen. James D. Craig, outgoing commanding general of Combined Joint Task Force-Horn of Africa (CJTF-HOA), gives remarks during a change of command ceremony at Camp Lemonnier, Djibouti, June 12, 2019. Craig transferred command to U.S. Army Maj. Gen. Michael D. Turello in the ceremony with U.S. Marine Corps Gen. Thomas Waldhauser, commander of U.S. Africa Command, as the presiding officer. (U.S. Air Force photo by Tech. Sgt. Shawn Nickel)

U.S. Marine Corps Gen. Thomas Waldhauser, commander of U.S. Africa Command, passes the command flag to U.S. Army Maj. Gen. Michael D. Turello, commanding general, Combined Joint Task Force-Horn of Africa (CJTF-HOA), during a change of command ceremony for CJTF-HOA at Camp Lemonnier, Djibouti, June 12, 2019. Turello will now be responsible for overseeing CJTF-HOA’s efforts in continuing to develop enduring partnerships, helping to build the defense capabilities of African partners and regional organizations, and the ongoing efforts to deter and defeat threats operating in Africa. (U.S. Air Force photo by Tech. Sgt. Shawn Nickel)

U.S. Marine Corps Gen. Thomas Waldhauser, commander of U.S. Africa Command, gives remarks during a change of command ceremony for Combined Joint Task Force-Horn of Africa (CJTF-HOA) at Camp Lemonnier, Djibouti, June 12, 2019. U.S. Army Maj. Gen. James D. Craig, outgoing commanding general of CJTF-HOA, transferred responsibility to U.S. Army Maj. Gen. Michael D. Turello in the ceremony with Waldhauser as the presiding officer. (U.S. Air Force photo by Tech. Sgt. Shawn Nickel)

U.S. Army Maj. Gen. James D. Craig, outgoing commanding general of Combined Joint Task Force-Horn of Africa (CJTF-HOA), gives remarks during a change of command ceremony at Camp Lemonnier, Djibouti, June 12, 2019. Craig transferred command to U.S. Army Maj. Gen. Michael D. Turello in the ceremony with U.S. Marine Corps Gen. Thomas Waldhauser, commander of U.S. Africa Command, as the presiding officer. (U.S. Air Force photo by Tech. Sgt. Shawn Nickel)

CJTF-HOA Commanding General Biograpghy

U.S. Army Sgt. Barrey Paddock, senior medic for Delta Company, 403rd Civil Affairs Battalion, assigned to Combined Joint Task Force-Horn of Africa, inserts a nasopharyngeal airway tube into a Japanese Ground Self-Defense Force soldier during a tactical combat casualty care course at Camp Lemonnier, Djibouti, May 27, 2019. The course was part of a two-day subject matter expert medical exchange that focused on first-aid methodologies between the two partner nations in Djibouti. (U.S. Air Force photo by Staff Sgt. Franklin R. Ramos)

U.S. Army Soldiers assigned to Combined Joint Task Force-Horn of Africa and Japanese Ground Self-Defense Force soldiers pose for a group photo during a tactical combat casualty care course at Camp Lemonnier, Djibouti, June 3, 2019. The course was part of a two-day subject matter expert medical exchange that focused on first-aid methodologies between the two partner nations in Djibouti. (U.S. Air Force photo by Staff Sgt. Franklin R. Ramos)

A Japanese Ground Self-Defense Force soldier applies a bandage to a U.S. Army Soldier, assigned to Combined Joint Task Force-Horn of Africa, during a tactical combat casualty care course at Camp Lemonnier, Djibouti, May 27, 2019. The course was part of a two-day subject matter expert medical exchange that focused on first-aid methodologies between the two partner nations in Djibouti. (U.S. Air Force photo by Staff Sgt. Franklin R. Ramos)

A Japanese Ground Self-Defense Force soldier applies a tourniquet to a U.S. Army Soldiers, assigned to Combined Joint Task Force-Horn of Africa, during a tactical combat casualty care course at Camp Lemonnier, Djibouti, May 27, 2019. The course was part of a two-day subject matter expert medical exchange that focused on first-aid methodologies between the two partner nations in Djibouti. (U.S. Air Force photo by Staff Sgt. Franklin R. Ramos)

U.S. Army Soldiers assigned to Combined Joint Task Force-Horn of Africa and Japanese Ground Self-Defense Force soldiers prepare to carry a victim during a tactical combat casualty care (TCCC) medical exchange at Camp Lemonnier, Djibouti, June 3, 2019. TCCC provided partner nation soldiers an opportunity to share different methods on how to conduct life-saving medical care on a battlefield. (U.S. Air Force photo by Staff Sgt. Franklin R. Ramos)

U.S. Army Sgt. Barrey Paddock, senior medic for Delta Company, 403rd Civil Affairs Battalion, assigned to Combined Joint Task Force-Horn of Africa, and Japanese Ground Self-Defense Force soldiers treat a victim during a tactical combat casualty care (TCCC) medical exchange at Camp Lemonnier, Djibouti, June 3, 2019. TCCC provided partner nation Soldiers an opportunity to share different methods on how to conduct life-saving medical care on a battlefield. (U.S. Air Force photo by Staff Sgt. Franklin R. Ramos)

U.S. Navy Cmdr. Charity Hardison, public affairs director, Combined Joint Task Force-Horn of Africa, speaks with Burundi Senior Command and Staff College (SCSC) students during a subject matter expert exchange in Kinanira, Burundi, May 15, 2019. Hardison was part of a four-person team of CJTF-HOA service members who visited Burundi to discuss best practices with the Burundi SCSC students. (Courtesy Photo)

U.S. Army Lt. Col. Steve Gerber, a Maryland Army National Guard member mobilized as the Combined Joint Task Force-Horn of Africa information operations chief, participates in a gift exchange with Burundi National Defence Force Col. C Ntacebera, commandant of the Senior Command and Staff College (SCSC), in Kinanira, Burundi, May 17, 2019. Gerber was part of a four-person team of CJTF-HOA service members who visited Burundi to discuss best practices with the Burundi SCSC students. (Courtesy Photo)

Combined Joint Task Force-Horn of Africa service members look at computer equipment, provided by Spirit of America, in the library of the Burundi National Defence Force Senior Command and Staff College (SCSC), in Kinanira, Burundi, May 15, 2019. A team of CJTF-HOA service members visited Burundi to discuss best practices with the Burundi SCSC students. (Courtesy Photo)

Combined Joint Task Force-Horn of Africa service members pose for a group photo at the Burundi National Defence Force Senior Command and Staff College (SCSC), in Kinanira, Burundi, May 17, 2019. A team of CJTF-HOA service members visited Burundi to discuss best practices with the Burundi SCSC students. (Courtesy Photo)

French army Maj. Romain, a foreign liaison officer assigned to Combined Joint Task Force-Horn of Africa (CJTF-HOA), briefs multinational military partners about his country during a CJTF-HOA cultural exchange at Camp Lemonnier, Djibouti, May 22, 2019. CJTF-HOA holds monthly exchanges with multinational military partners affiliated with Camp Lemonnier to strengthen alliances and increase understanding within the combined joint military environment. (U.S. Air Force photo by Staff Sgt. Kirsten Brandes)

A French army soldier looks out of a U.S. Humvee during a French Desert Commando Course in Arta, Djibouti, May 15, 2019. The course is a premiere French training event designed to develop each soldier's ability to perform mounted missions in a desert environment, and develop individual Soldier mountaineering and water confidence. (Courtesy Photo)

U.S. Army Soldiers assigned to Combined Joint Task Force-Horn of Africa and French army soldiers participate in a French Desert Commando Course in Arta, Djibouti, May 15, 2019. The six-day course consisted of three exercises asting two days each in company squad training, platoon squad training and live fire scenarios. (Courtesy Photo)

U.S. Army Soldiers assigned to Combined Joint Task Force-Horn of Africa and French army soldiers drive a U.S. Humvee and a French armored vanguard vehicle during a French Desert Commando Course in Arta, Djibouti, May 15, 2019. The six-day course consisted of three exercises lasting two days each in company squad training, platoon squad training and live fire scenarios. (Courtesy Photo)

A French army Staff Sergeant, left, and U.S. Army Spc. Taylor Charlton, an infantryman from the 2nd Battalion, 113th Infantry Regiment, New Jersey Army National Guard, Task Force Warrior, assigned to Combined Joint Task Force-Horn of Africa, conduct a counter improvised explosive device check during the French Desert Commando Course in Arta, Djibouti, May 15, 2019. The six-day course consisted of three exercises lasting two days each in company squad training, platoon squad training and live fire scenarios. (Courtesy Photo)

U.S. Army Soldiers assigned to Combined Joint Task Force-Horn of Africa and French army soldiers participate in a French Desert Commando Course in Arta, Djibouti, May 15, 2019. The course is a premiere French training event designed to develop each soldier's ability to perform mounted missions in a desert environment, and develop individual soldier mountaineering and water confidence. (Courtesy Photo)

U.S. Air Force Brig. Gen. James R. Kriesel, right, deputy commanding general, Combined Joint Task Force-Horn of Africa, greets a Djiboutian guest at an Iftar celebration at the home of U.S. Embassy Djibouti’s senior defense attaché in Djibouti, May 12, 2019. The Iftar is a fast-breaking meal Muslims eat after sunset during Ramadan, the ninth month of the Islamic year observed with daily fasting from dawn to sunset. (U.S. Air Force photo by Staff Sgt. Kirsten Brandes)

U.S. Navy Cmdr. Sean Hays, U.S. Embassy Djibouti senior defense official and defense attaché, introduces U.S. Army Capt. Ayub Laari, a chaplain assigned to the 39th Transportation Battalion, Kleber Kaserne, Germany, during an Iftar celebration, May 12, 2019. The Iftar is a fast-breaking meal Muslims eat after sunset during Ramadan, the ninth month of the Islamic year observed with daily fasting from dawn to sunset. Laari served as the event’s Imam, a worship leader in the Islamic faith. (U.S. Air Force photo by Staff Sgt. Kirsten Brandes)

U.S. Air Force Brig. Gen. James R. Kriesel, right, deputy commanding general, Combined Joint Task Force-Horn of Africa, listens to a Djiboutian guest at an Iftar celebration at the home of U.S. Embassy Djibouti’s senior defense attaché in Djibouti, May 12, 2019. The Iftar is a fast-breaking meal Muslims eat after sunset during Ramadan, the ninth month of the Islamic year observed with daily fasting from dawn to sunset. (U.S. Air Force photo by Staff Sgt. Kirsten Brandes)

A Combined Joint Task Force-Horn of Africa service member reaches for a date during an Iftar celebration at the home of U.S. Embassy Djibouti’s senior defense attaché in Djibouti, May 12, 2019. The Iftar is a fast-breaking meal Muslims have after sunset during Ramadan, the ninth month of the Islamic year observed with daily fasting from dawn to sunset. The eating of dates is traditional at an Iftar celebration, as they provide the body with sugar to help restore low blood sugar after fasting all day. (U.S. Air Force photo by Staff Sgt. Kirsten Brandes)

U.S. Ambassador to Djibouti Larry André, center, welcomes a Djiboutian guest to an Iftar celebration at the home of U.S. Embassy Djibouti’s senior defense attaché in Djibouti, May 12, 2019. The Iftar is a fast-breaking meal Muslims eat after sunset during Ramadan, the ninth month of the Islamic year observed with daily fasting from dawn to sunset. (U.S. Air Force photo by Staff Sgt. Kirsten Brandes)