U.S. Army Staff Sgt. Duan Erzell, a communication’s specialist with the 403rd Civil Affairs (CA) Battalion, participates in a tourniquet application demonstration as a simulated casualty during a Combat Lifesaver Course (CLS) at Base Militar Italiano de Supporte, Djibouti, Jan. 15, 2019. Proper tourniquet application is a primary focus of the CLS, a course medics from the 403rd CA Functional Specialty Team recently conducted for members of Base Militar Italiano de Supporte. (U.S. Air Force photo by Senior Airman Kirsten Brandes)

U.S. Army Staff Sgt. Carmen Lozano, a medic with the 403rd Civil Affairs (CA) Battalion Functional Specialty Team (FXSP), assigned to Combined Joint Task Force-Horn of Africa, leads a lesson on airway management for Italian military students at Base Militar Italiano de Supporte, Jan. 15, 2019. Airway management is a primary focus of the Combat Lifesaver Course, conducted for members of the Italian military and Carabinieri by medics from the 403rd CA FXSP. (U.S. Air Force photo by Senior Airman Kirsten Brandes)

U.S. Army Soldiers from to Task Force Alamo, Texas National Guard, assigned to Combined Joint Task Force-Horn of Africa (CJTF-HOA), Djibouti, prepare for the “ruckrun” portion of the German Armed Forces Badge (GAFB) for Military Proficiency in Djibouti, Jan. 15, 2019. The GAFB is awarded to and worn by German service members of all ranks. Allied service members may also be awarded the badge, subject to their nations' uniform regulations. (U.S. Navy photo by Mass Communication Specialist 1st Class Nick Scott)

U.S. Army Soldiers from Task Force Alamo, Texas National Guard, assigned to Combined Joint Task Force-Horn of Africa (CJTF-HOA), Djibouti, prepare for the swim competition portion of the German Armed Forces Badge (GAFB) for Military Proficiency in Djibouti, Jan. 16, 2019. The GAFB is awarded to and worn by German service members of all ranks. Allied service members may also be awarded the badge, subject to their nations' uniform regulations. (U.S. Navy photo by Mass Communication Specialist 1st Class Nick Scott)

U.S. Army Soldiers from Task Force Alamo, Texas National Guard, assigned to Combined Joint Task Force-Horn of Africa (CJTF-HOA), Djibouti, compete in a swim competition for the German Armed Forces Badge (GAFB) for Military Proficiency in Djibouti, Jan. 16, 2019. The GAFB is awarded to and worn by German service members of all ranks. Allied service members may also be awarded the badge, subject to their nations' uniform regulations. (U.S. Navy photo by Mass Communication Specialist 1st Class Nick Scott)

U.S. Army Spc. John Goldthorn, Headquarters and Headquarters Company, 1-141st Infantry Regiment, Task Force Alamo, Texas National Guard, assigned to Combined Joint Task Force-Horn of Africa (CJTF-HOA), Djibouti, competes in a swim competition for the German Armed Forces Badge (GAFB) for Military Proficiency in Djibouti, Jan. 16, 2019. The GAFB is awarded to and worn by German service members of all ranks. Allied service members may also be awarded the badge, subject to their nations' uniform regulations. (U.S. Navy photo by Mass Communication Specialist 1st Class Nick Scott)

U.S. Army Soldier from 1-141 Infantry Regiment, Task Force Alamo, Texas National Guard, assigned to Combined Joint Task Force-Horn of Africa, and German Army and Navy service members gather for an awards presentation for the German Armed Forces Badge for military proficiency at the Camp Lemonnier, Djibouti, Jan. 22, 2019. Competing for the badge offered a unique opportunity to Soldiers and worked as an information exchange between the U.S. and Germany militaries. (U.S. Air Force photo by Tech. Sgt. Shawn Nickel)

U.S. Army Spc. Natalia Webb, a medical technician from 1-141 Infantry Regiment, Task Force Alamo, Texas National Guard, assigned to Combined Joint Task Force-Horn of Africa, and the only female to earn the German Armed Forces Badge for military proficiency (GAFB) this rotation, accepter her GAFB at an awards ceremony at Camp Lemonnier, Djibouti, Jan. 22, 2019. Competing for the badge offered a unique opportunity to Soldiers and worked as an information exchange between the U.S. and Germany militaries. (U.S. Air Force photo by Tech. Sgt. Shawn Nickel)

U.S. Army Pfc. Tristan Seaton, Bravo Company, 1-26 Infantry, 101st Airborne, assigned to Combined Joint Task Force-Horn of Africa (CJTF-HOA), Djibouti, competes in a swim competition for the German Armed Forces Badge (GAFB) for Military Proficiency in Djibouti, Jan. 16, 2019. The GAFB is awarded to and worn by German service members of all ranks. Allied service members may also be awarded the badge, subject to their nations' uniform regulations. (U.S. Navy photo by Mass Communication Specialist 1st Class Nick Scott)

U.S. Army Staff Sgt. Zachary Fejeran, Bowie Company, 1st Battalion, Task Force Alamo, Texas National Guard, assigned to Combined Joint Task Force-Horn of Africa (CJTF-HOA), Djibouti, calls out times during a “ruckrun” for the German Armed Forces Badge (GAFB) for Military Proficiency in Djibouti, Jan. 15, 2019. The GAFB is awarded to and worn by German service members of all ranks. Allied service members may also be awarded the badge, subject to their nations' uniform regulations. (U.S. Navy photo by Mass Communication Specialist 1st Class Nick Scott)

U.S. Army Capt. Joseph Brunone, right, Headquarters and Headquarters Company, 1st Battalion, Task Force Alamo, Texas National Guard, assigned to Combined Joint Task Force-Horn of Africa (CJTF-HOA), Djibouti, has his backpack weighed by German Navy Lt. Cmdr. Katharina Wrede, after a “ruckrun” for the German Armed Forces Badge (GAFB) for Military Proficiency in Djibouti, Jan. 15, 2019. The GAFB is awarded to and worn by German service members of all ranks. Allied service members may also be awarded the badge, subject to their nations' uniform regulations. During the “ruckrun”, backpacks are required to weight at or more than 33 pounds. (U.S. Navy photo by Mass Communication Specialist 1st Class Nick Scott)

U.S. Army Staff Sgt. Zachary Fejeran, Bowie Company, 1st Battalion, Task Force Alamo, Texas National Guard, assigned to Combined Joint Task Force-Horn of Africa (CJTF-HOA), Djibouti, calls out times during a “ruckrun” for the German Armed Forces Badge (GAFB) for Military Proficiency in Djibouti, Jan. 15, 2019. The GAFB is awarded to and worn by German service members of all ranks. Allied service members may also be awarded the badge, subject to their nations' uniform regulations. (U.S. Navy photo by Mass Communication Specialist 1st Class Nick Scott)

U.S. Army 1st Sgt. Jack Lamb, Bravo Company, 1-141 Infantry Regiment, Task Force Alamo, Texas National Guard, assigned to Combined Joint Task Force-Horn of Africa, practices before the official marksmanship portion of the German Armed Forces Badge for military proficiency at the Arta Range Complex, Djibouti, Jan. 17, 2019. Competing for the badge offered a unique opportunity to Soldiers and worked as an information exchange between the U.S. and Germany militaries. (U.S. Air Force photo by Tech. Sgt. Shawn Nickel)

A U.S. Army Soldier from 1-141 Infantry Regiment, Task Force Alamo, Texas National Guard, assigned to Combined Joint Task Force-Horn of Africa, practices before the official marksmanship portion of the German Armed Forces Badge for military proficiency at the Arta Range Complex, Djibouti, Jan. 17, 2019. Competing for the badge offered a unique opportunity to Soldiers and worked as an information exchange between the U.S. and Germany militaries. (U.S. Air Force photo by Tech. Sgt. Shawn Nickel)

U.S. Army Spc. Natalia Webb, a medical technician from 1-141 Infantry Regiment, Task Force Alamo, Texas National Guard, assigned to CJTF-HOA, and the only female to earn the German Armed Forces Badge for military proficiency (GAFB) this rotation, poses for a photo during the marksmanship portion of the GAFB at the Arta Range Complex, Djibouti, Jan. 17, 2019. Competing for the badge offered a unique opportunity to Soldiers and worked as an information exchange between the U.S. and Germany militaries. (U.S. Air Force photo by Tech. Sgt. Shawn Nickel)

U.S. Army Spc. Natalia Webb, a medical technician from 1-141 Infantry Regiment, Task Force Alamo, Texas National Guard, assigned to Combined Joint Task Force-Horn of Africa, and the only female to earn the German Armed Forces Badge for military proficiency (GAFB) this rotation, displays her GAFB at an awards ceremony at Camp Lemonnier, Djibouti, Jan. 22, 2019. Competing for the badge offered a unique opportunity to Soldiers and worked as an information exchange between the U.S. and Germany militaries. (U.S. Air Force photo by Tech. Sgt. Shawn Nickel)

German Army Sgt. 1st Class Tobias Maul, information technology specialist and combat arms training instructor, assigned to Operation Atalanta, officiates the marksmanship portion of the German Armed Forces Badge for military proficiency at the Arta Range Complex, Djibouti, Jan. 17, 2019. Competing for the badge offered a unique opportunity to Soldiers and worked as an information exchange between the U.S. and Germany militaries. (U.S. Air Force photo by Tech. Sgt. Shawn Nickel)

A U.S. Army Soldier from 1-141 Infantry Regiment, Task Force Alamo, Texas National Guard, assigned to Combined Joint Task Force-Horn of Africa, officiates the official marksmanship portion of the German Armed Forces Badge for military proficiency at the Arta Range Complex, Djibouti, Jan. 17, 2019. Competing for the badge offered a unique opportunity to Soldiers and worked as an information exchange between the U.S. and Germany militaries. (U.S. Air Force photo by Tech. Sgt. Shawn Nickel)

A U.S. Army Soldier from 1-141 Infantry Regiment, Task Force Alamo, Texas National Guard, assigned to Combined Joint Task Force-Horn of Africa, speaks with German soldiers and sailors during the official marksmanship portion of the German Armed Forces Badge for military proficiency at the Arta Range Complex, Djibouti, Jan. 17, 2019. Competing for the badge offered a unique opportunity to Soldiers and worked as an information exchange between the U.S. and Germany militaries. (U.S. Air Force photo by Tech. Sgt. Shawn Nickel)

U.S. Army Soldiers from to Task Force Alamo, Texas National Guard, assigned to Combined Joint Task Force-Horn of Africa (CJTF-HOA), Djibouti, prepare for the “ruckrun” portion of the German Armed Forces Badge (GAFB) for Military Proficiency in Djibouti, Jan. 15, 2019. The GAFB is awarded to and worn by German service members of all ranks. Allied service members may also be awarded the badge, subject to their nations' uniform regulations. (U.S. Navy photo illustration by Mass Communication Specialist 1st Class Nick Scott)

A .50-caliber machine gun mounted on a Mine-Resistant Ambush Protected vehicle maintained by Task Force Alamo, Texas National Guard, assigned to Combined Joint Task Force-Horn of Africa (CJTF-HOA), Djibouti, fires rounds at a target at a military range in Djibouti, Jan. 19, 2019. Task Force Alamo is responsible for rapidly deploying in response to any crisis threatening U.S. personnel or property throughout CJTF-HOA, an area nearly half the size of the continental United States. (U.S. Navy photo by Mass Communication Specialist 1st Class Nick Scott)

A .50-caliber machine gun mounted on a Mine-Resistant Ambush Protected vehicle maintained by Task Force Alamo, Texas National Guard, assigned to Combined Joint Task Force-Horn of Africa (CJTF-HOA), Djibouti, fires rounds at a target at a military range in Djibouti, Jan. 19, 2019. Task Force Alamo is responsible for rapidly deploying in response to any crisis threatening U.S. personnel or property throughout CJTF-HOA, an area nearly half the size of the continental United States. (U.S. Navy photo by Mass Communication Specialist 1st Class Nick Scott)

U.S. Army Spc. Luis Ortiz, Delta Company, 1-141st Infantry Regiment, Task Force Alamo, Texas National Guard, assigned to Combined Joint Task Force-Horn of Africa (CJTF-HOA), Djibouti, loads a .50-caliber machine gun at a military range in Djibouti, Jan. 19, 2019. Task Force Alamo is responsible for rapidly deploying in response to any crisis threatening U.S. personnel or property throughout CJTF-HOA, an area nearly half the size of the continental United States. (U.S. Navy photo by Mass Communication Specialist 1st Class Nick Scott)

U.S. Army Spc. Luis Ortiz, Delta Company, 1-141st Infantry Regiment, Task Force Alamo, Texas National Guard, assigned to Combined Joint Task Force-Horn of Africa (CJTF-HOA), Djibouti, prepares a .50-caliber machine gun at a military range in Djibouti, Jan. 19, 2019. Task Force Alamo is responsible for rapidly deploying in response to any crisis threatening U.S. personnel or property throughout CJTF-HOA, an area nearly half the size of the continental United States. (U.S. Navy photo by Mass Communication Specialist 1st Class Nick Scott)

U.S. Army Spc. Michael Mompoint, left, and U.S. Army Spc. Tyler Gorlowski, both from Delta Company, 1-141st Infantry Regiment, Task Force Alamo, Texas National Guard, assigned to Combined Joint Task Force-Horn of Africa (CJTF-HOA), Djibouti, perform maintenance on a .50-caliber machine gun at a military range in Djibouti, Jan. 19, 2019. Task Force Alamo is responsible for rapidly deploying in response to any crisis threatening U.S. personnel or property throughout CJTF-HOA, an area nearly half the size of the continental United States. (U.S. Navy photo by Mass Communication Specialist 1st Class Nick Scott)

A .50-caliber machine gun mounted on a Mine-Resistant Ambush Protected vehicle maintained by Task Force Alamo, Texas National Guard, assigned to Combined Joint Task Force-Horn of Africa (CJTF-HOA), Djibouti, fires rounds at a target at a military range in Djibouti, Jan. 19, 2019. Task Force Alamo is responsible for rapidly deploying in response to any crisis threatening U.S. personnel or property throughout CJTF-HOA, an area nearly half the size of the continental United States. (U.S. Navy photo by Mass Communication Specialist 1st Class Nick Scott)

U.S. Army Sgt. Nathan Gongora, left, and U.S. Army Spc. Michael Mompoint, both from Delta Company, 1-141st Infantry Regiment, Task Force Alamo, Texas National Guard, assigned to Combined Joint Task Force-Horn of Africa (CJTF-HOA), Djibouti, load a .50-caliber machine gun at a military range in Djibouti, Jan. 19, 2019. Task Force Alamo is responsible for rapidly deploying in response to any crisis threatening U.S. personnel or property throughout CJTF-HOA, an area nearly half the size of the continental United States. (U.S. Navy photo by Mass Communication Specialist 1st Class Nick Scott)

U.S. Army Spc. Luis Ortiz, Delta Company, 1-141st Infantry Regiment, Task Force Alamo, Texas National Guard, assigned to Combined Joint Task Force-Horn of Africa (CJTF-HOA), Djibouti, loads a .50-caliber machine gun at a military range in Djibouti, Jan. 19, 2019. Task Force Alamo is responsible for rapidly deploying in response to any crisis threatening U.S. personnel or property throughout CJTF-HOA, an area nearly half the size of the continental United States. (U.S. Navy photo by Mass Communication Specialist 1st Class Nick Scott)

U.S. Army Soldiers from Task Force Alamo, Texas National Guard, assigned to Combined Joint Task Force-Horn of Africa (CJTF-HOA), Djibouti, prepare for a range exercise in Djibouti, Jan. 19, 2019. Task Force Alamo is responsible for rapidly deploying in response to any crisis threatening U.S. personnel or property throughout CJTF-HOA, an area nearly half the size of the continental United States. (U.S. Navy photo by Mass Communication Specialist 1st Class Nick Scott)

U.S. Army Sgt. 1st Class Brian Glynn, Delta Company, 1-141st Infantry Regiment, Task Force Alamo, Texas National Guard, assigned to Combined Joint Task Force-Horn of Africa (CJTF-HOA), Djibouti, discusses range safety with German military personnel prior to training at a military range in Djibouti, Jan. 19, 2019. Task Force Alamo is responsible for rapidly deploying in response to any crisis threatening U.S. personnel or property throughout CJTF-HOA, an area nearly half the size of the continental United States. (U.S. Navy photo by Mass Communication Specialist 1st Class Nick Scott)

U.S. Army Sgt. 1st Class Brian Glynn, Delta Company, 1-141st Infantry Regiment, Task Force Alamo, Texas National Guard, assigned to Combined Joint Task Force-Horn of Africa (CJTF-HOA), Djibouti, discusses range safety prior to training at a military range in Djibouti, Jan. 19, 2019. Task Force Alamo is responsible for rapidly deploying in response to any crisis threatening U.S. personnel or property throughout CJTF-HOA, an area nearly half the size of the continental United States. (U.S. Navy photo by Mass Communication Specialist 1st Class Nick Scott)

Combined Joint Task Force-Horn of Africa (CJTF-HOA) and Japan Maritime Self-Defense Force (JMSDF) leadership pose for a photo after a P-3C Orion familiarization flight Jan. 19, 2019 in Djibouti, Djibouti. Leadership from CJTF-HOA took the flight to gain a better perspective of the JMSDF mission. (U.S. Air Force photo by Tech. Sgt. Shawn Nickel)

Combined Joint Task Force-Horn of Africa (CJTF-HOA) and Japan Maritime Self-Defense Force (JMSDF) leadership greet each other after a P-3C Orion familiarization flight Jan. 19, 2019 in Djibouti, Djibouti. Leadership from CJTF-HOA took the flight to gain a better perspective of the JMSDF mission. (U.S. Air Force photo by Tech. Sgt. Shawn Nickel)

Combined Joint Task Force-Horn of Africa (CJTF-HOA) and Japan Maritime Self-Defense Force (JMSDF) leadership greet each other after a P-3C Orion familiarization flight Jan. 19, 2019 in Djibouti, Djibouti. Leadership from CJTF-HOA took the flight to gain a better perspective of the JMSDF mission. (U.S. Air Force photo by Tech. Sgt. Shawn Nickel)

U.S. Air Force Lt. Col. Michael Mansfield, deputy chief of staff for Combined Joint Task Force-Horn of Africa (CJTF-HOA), right, and Japan Maritime Self-Defense Force (JMSDF) Maj. Shinsuke Takada, foreign liaison officer assigned to CJTF-HOA, pose for a photo after a P-3C Orion familiarization flight Jan. 19, 2019 in Djibouti, Djibouti. Leadership from CJTF-HOA took the flight to gain a better perspective of the JMSDF mission. (U.S. Air Force photo by Tech. Sgt. Shawn Nickel)

U.S. Navy Capt. Thomas Wall, chief of staff for Combined Joint Task Force-Horn of Africa (CJTF-HOA), left, and Japan Maritime Self-Defense Force Cmdr. Akihiko Kurishita, commander of Deployment Air Force for Counter-Piracy Operations, Djibouti, go over a flight path prior to a P-3C Orion familiarization flight Jan. 19, 2019 in Djibouti, Djibouti. Leadership from CJTF-HOA took the flight to gain a better perspective of the JMSDF mission. (U.S. Air Force photo by Tech. Sgt. Shawn Nickel)

Japan Maritime Self-Defense Force (JMSDF) members assigned to Deployment Air Force for Counter-Piracy Operations, Djibouti, bid farewell to Combined Joint Task Force-Horn of Africa leadership prior to a P-3C Orion familiarization flight Jan. 19, 2019 in Djibouti, Djibouti. Leadership from CJTF-HOA took the flight to gain a better perspective of the JMSDF mission. (U.S. Air Force photo by Tech. Sgt. Shawn Nickel)

U.S. Navy Capt. Thomas Wall, chief of staff for Combined Joint Task Force-Horn of Africa (CJTF-HOA), looks out the cockpit of a Japan Maritime Self-Defense Force (JMSDF) P-3C Orion during a familiarization flight Jan. 19, 2019 in Djibouti, Djibouti. Leadership from CJTF-HOA took the flight to gain a better perspective of the JMSDF mission. (U.S. Air Force photo by Tech. Sgt. Shawn Nickel)

U.S. Navy Capt. Thomas Wall, chief of staff for Combined Joint Task Force-Horn of Africa (CJTF-HOA), right, and Japan Maritime Self-Defense Force Cmdr. Akihiko Kurishita, commander of Deployment Air Force for Counter-Piracy Operations, Djibouti, pose for a photo during a P-3C Orion familiarization flight Jan. 19, 2019 in Djibouti, Djibouti. Leadership from CJTF-HOA took the flight to gain a better perspective of the JMSDF mission. (U.S. Air Force photo by Tech. Sgt. Shawn Nickel)

U.S. Air Force Lt. Col. Michael Mansfield, deputy chief of staff for Combined Joint Task Force-Horn of Africa (CJTF-HOA), looks out the cockpit of a Japan Maritime Self-Defense Force (JMSDF) P-3C Orion during a familiarization flight Jan. 19, 2019 in Djibouti, Djibouti. Leadership from CJTF-HOA took the flight to gain a better perspective of the JMSDF mission. (U.S. Air Force photo by Tech. Sgt. Shawn Nickel)