A Djiboutian coast guardsman coordinates a simulated water rescue mission from the bridge of a Djiboutian coast guard vessel as part of the combined joint interoperability exercise Bull Shark near Arta Range, Djibouti, Dec.3, 2022. During the exercise, the Djiboutian coast guard played a direct role with multinational partners to conduct a simulated personnel recovery mission. (Department of Defense photo by U.S. Air Force Staff Sgt. Thomas Johns)

Djiboutian coast guardsmen conduct a simulated water rescue as part of the combined joint interoperability exercise Bull Shark near Arta Range, Djibouti, Dec. 3, 2022. Djiboutian coast guardsmen worked directly with the U.S. Navy, U.S. Marine Corps, U.S. Army, U.S. Air Force, and Spanish navy to conduct multiple simulated personnel recovery operations. (Department of Defense photo by U.S. Air Force Thomas Johns)

A UH-1N Huey flies above the Spanish frigate Santa Maria during the combined joint interoperability exercise Bull Shark, near Arta Range, Djibouti, Dec. 3, 2022. The exercise involved joint and partner military components to conduct crisis response and personnel recovery training. (Department of Defense photo by U.S. Air Force Staff Sgt. Thomas Johns)

A Djiboutian coast guardsman stands watch as the Spanish navy frigate Santa Maria passes by during the combined joint interoperability exercise Bull Shark near Arta Range, Djibouti, Dec. 3, 2022. During the exercise, the Djiboutian coast guard synchronized and coordinated with joint and partner forces to conduct crisis response and personnel recovery training. (Department of Defense photo by U.S. Air Force Staff Sgt. Thomas Johns)

A Djiboutian coast guard vessel protects a U.S. Marine Corps MV-22 Osprey during the combined joint interoperability exercise Bull Shark near Arta Range, Djibouti, Dec. 3, 2022. The exercise included the Djiboutian coast guard, U.S. Marine Corps, U.S. Army, U.S. Air Force, U.S. Navy, and Spanish navy. (Department of Defense photo by U.S. Air Force Staff Sgt. Thomas Johns)

A Djiboutian coast guard vessel conducts overwatch operations ahead of the Spanish navy frigate Santa Maria during the combined joint interoperability exercise Bull Shark near Arta Range, Djibouti, Dec. 3, 2022. During the exercise, the Djiboutian coast guard worked directly with multinational partners. (Department of Defense photo by U.S. Air Force Staff Sgt. Thomas Johns)

U.S. Army First Sgt. Jacob Iwanski, Combined Joint Task Force - Horn of Africa operations noncommissioned officer in charge, talks with Djiboutian coast guard Lt. Bahdon Khaire after the combined joint interoperability exercise Bull Shark near Arta Range, Djibouti, Dec. 3, 2022. The exercise allowed multinational partners to practice interoperability, communication, and tactics during personnel recovery operations. (Department of Defense photo by U.S. Air Force Staff Sgt. Thomas Johns)

A U.S. Marine Corps MV-22 performs a medical evacuation during exercise Bull Shark near Balbala, Djibouti, Dec. 3, 2022. During the response operation, the recovered personnel sustained simulated injuries that required the dispatch of MV-22 Ospreys. (Department of Defense photo by Staff Sgt. Dallin Wrye)

A U.S. Marine Corps MV-22 hovers over the water while a U.S. Air Force pararescueman performs a hoist near Arta Range, Djibouti, Dec. 3, 2022. Exercise Bull Shark incorporated land, sea, and air components from the U.S., Djiboutian, and Spanish militaries. (Department of Defense photo by Staff Sgt. Dallin Wrye)

U.S. Army Brig. Gen. Stephen Case, Combined Joint Task Force - Horn of Africa deputy commanding general, presents coins to Djiboutian coast guard members at Camp Lemonnier, Djibouti, Dec. 3, 2022. The Djiboutian coast guard is the first line of defense and the first responders for personnel recovery missions in and around Djibouti. (Department of Defense photo by Staff Sgt. Dallin Wrye)

A 34-foot Dauntless-class patrol boat assigned to Maritime Expeditionary Security Squadron Eleven (MSRON-1), secures the area during exercise Bull Shark, near Arta Range, Djibouti, Dec. 3, 2022. MSRON-1 provides port and harbor security, high-value asset protection, and maritime security operations in coastal waterways of the Gulf of Tadjoura. (Department of Defense photo by Staff Sgt. Dallin Wrye)

Col. Padon Ninteretse, Burundi National Defense Force Headquarters in the department of Civil Military Coordination, gives a presentation on how Burundi facilitates humanitarian aid and disaster response during the Humanitarian Operations Workshop (HOW) on Camp Lemonnier, Djibouti, Nov. 29, 2022. The HOW, led by a team from the U.S. International Agency for International Development, provided an opportunity for U.S. service members, partner nation militaries, civil authorities, United Nation entities, and civilian response agencies to come together to enhance interoperability and improve coordination when responding to both natural and man-made disasters. (Department of Defense photo by U.S. Army Spc. Emily Held)

U.S. Army Maj. Gen. Jami Shawley, commanding general of Combined Joint Task Force - Horn of Africa (CJTF-HOA), gives opening remarks at a Humanitarian Operations Workshop (HOW) on Camp Lemonnier, Djibouti, Nov. 29, 2022. The HOW, led by a team from the U.S. International Agency for International Development, provided an opportunity for U.S. service members, partner nation militaries, civil authorities, United Nation entities, and civilian response agencies to come together to enhance interoperability and improve coordination when responding to both natural and man-made disasters. (Department of Defense photo by U.S. Army Spc. Emily Held)

U.S. Army Maj. Gen. Jami Shawley, commanding general of Combined Joint Task Force - Horn of Africa (CJTF-HOA), welcomes participants to the Humanitarian Operations Workshop (HOW) on Camp Lemonnier, Djibouti, Nov. 29, 2022. The HOW, led by a team from the U.S. International Agency for International Development, provided an opportunity for U.S. service members, partner nation militaries, civil authorities, United Nation entities, and civilian response agencies to come together to enhance interoperability and improve coordination when responding to both natural and man-made disasters. (Department of Defense photo by U.S. Army Spc. Emily Held)

Multinational service members and civil authorities work through a tabletop exercise involving simulated disaster scenarios throughout African countries during the Humanitarian Operations Workshop (HOW) on Camp Lemonnier, Djibouti, Nov. 30, 2022. The HOW, led by a team from the U.S. International Agency for International Development, provided an opportunity for U.S. service members, partner nation militaries, civil authorities, United Nation entities, and civilian response agencies to come together to enhance interoperability and improve coordination when responding to both natural and man-made disasters. (Department of Defense photo by U.S. Army Spc. Emily Held)

Multinational service members and civil authorities work through a tabletop exercise involving simulated disaster scenarios throughout African countries during the Humanitarian Operations Workshop (HOW) on Camp Lemonnier, Djibouti, Nov. 30, 2022. The HOW, led by a team from the U.S. International Agency for International Development, provided an opportunity for U.S. service members, partner nation militaries, civil authorities, United Nation entities, and civilian response agencies to come together to enhance interoperability and improve coordination when responding to both natural and man-made disasters. (Department of Defense photo by U.S. Army Spc. Emily Held)

Multinational service members and civil authorities work through a tabletop exercise involving simulated disaster scenarios throughout African countries during the Humanitarian Operations Workshop (HOW) on Camp Lemonnier, Djibouti, Nov. 30, 2022. The HOW, led by a team from the U.S. International Agency for International Development, provided an opportunity for U.S. service members, partner nation militaries, civil authorities, United Nation entities, and civilian response agencies to come together to enhance interoperability and improve coordination when responding to both natural and man-made disasters. (Department of Defense photo by U.S. Army Spc. Emily Held)

Multinational service members and civil authorities pose for a photo at the Humanitarian Operations Workshop (HOW) on Camp Lemonnier, Djibouti, Nov. 30, 2022. The HOW, led by a team from the U.S. International Agency for International Development, provided an opportunity for U.S. service members, partner nation militaries, civil authorities, United Nation entities, and civilian response agencies to come together to enhance interoperability and improve coordination when responding to both natural and man-made disasters. (Department of Defense photo by U.S. Army Spc. Emily Held)

Multinational service members and civil authorities work through a tabletop exercise involving simulated disaster scenarios throughout African countries during the Humanitarian Operations Workshop (HOW) on Camp Lemonnier, Djibouti, Nov. 30, 2022. The HOW, led by a team from the U.S. International Agency for International Development, provided an opportunity for U.S. service members, partner nation militaries, civil authorities, United Nation entities, and civilian response agencies to come together to enhance interoperability and improve coordination when responding to both natural and man-made disasters. (Department of Defense photo by U.S. Army Spc. Emily Held)

Elizabeth Blanchford, humanitarian assistance advisor to the Military with the U.S. Agency for International Development, speaks to participants during the Humanitarian Operations Workshop (HOW) on Camp Lemonnier, Djibouti, Nov. 30, 2022. The HOW, led by a team from the U.S. International Agency for International Development, provided an opportunity for U.S. service members, partner nation militaries, civil authorities, United Nation entities, and civilian response agencies to come together to enhance interoperability and improve coordination when responding to both natural and man-made disasters. (Department of Defense photo by U.S. Army Spc. Emily Held)

U.S. Army Cpl. Demetrius Contreras, Veterinary Service Support (VSS) veterinary food inspector attached to the Expeditionary Medical Facility (EMF), shows how he completes a food receipt after a delivery during a Food Safety Course with the Djibouti Ministry of Agriculture at Camp Lemonnier, Djibouti, Nov. 28, 2022. Participants received information on various topics ranging from food handling safety, storage, food reception, inspection and bacteriology. (Department of Defense photo by U.S. Air Force Senior Airman Destani K. Matheny)

U.S. Army Cpl. Demetrius Contreras, Veterinary Service Support (VSS) veterinary food inspector attached to the Expeditionary Medical Facility (EMF), shows how he completes a food receipt after a delivery during a Food Safety Course with the Djibouti Ministry of Agriculture at Camp Lemonnier, Djibouti, Nov. 28, 2022. Participants received information on various topics ranging from food handling safety, storage, food reception, inspection and bacteriology. (Department of Defense photo by U.S. Air Force Senior Airman Destani K. Matheny)

U.S. Army Cpl. Demetrius Contreras, Veterinary Service Support (VSS) veterinary food inspector attached to the Expeditionary Medical Facility (EMF), leads a presentation during a Food Safety Course at the Ministry of Agriculture, Djibouti, Nov. 28, 2022. Participants received information on various topics ranging from food handling safety, storage, food reception, inspection and bacteriology. (Department of Defense photo by U.S. Air Force Senior Airman Destani K. Matheny)

U.S. Army Cpl. Demetrius Contreras, Veterinary Service Support (VSS) veterinary food inspector attached to the Expeditionary Medical Facility (EMF), leads a tour through Camp Lemonnier’s food storage warehouse during a Food Safety Course with the Djibouti Ministry of Agriculture at Camp Lemonnier, Djibouti, Nov. 28, 2022. Participants received information on various topics ranging from food handling safety, storage, food reception, inspection and bacteriology. (Department of Defense photo by U.S. Air Force Senior Airman Destani K. Matheny)

Participants tour through Camp Lemonnier’s food storage warehouse during a Food Safety Course with the Djibouti Ministry of Agriculture at Camp Lemonnier, Djibouti, Nov. 28, 2022. Participants received information on various topics ranging from food handling safety, storage, food reception, inspection and bacteriology. (Department of Defense photo by U.S. Air Force Senior Airman Destani K. Matheny)

U.S. Army Spc. Kimberly Montongo, Veterinary Service Support (VSS) veterinary food inspector attached to the Expeditionary Medical Facility (EMF), demonstrates how to calibrate a thermometer, using ice water as a base for zero degrees celsius, during a Food Safety Course with the Djibouti Ministry of Agriculture at Camp Lemonnier, Djibouti, Nov. 28, 2022. Participants received information on various topics ranging from food handling safety, storage, food reception, inspection and bacteriology. (Department of Defense photo by U.S. Air Force Senior Airman Destani K. Matheny)

U.S. Army Spc. Kimberly Montongo, Veterinary Service Support (VSS) veterinary food inspector attached to the Expeditionary Medical Facility (EMF), leads a presentation during a Food Safety Course with the Djibouti Ministry of Agriculture at Camp Lemonnier, Djibouti, Nov. 28, 2022. Participants received information on various topics ranging from food handling safety, storage, food reception, inspection and bacteriology. (Department of Defense photo by U.S. Air Force Senior Airman Destani K. Matheny)

U.S. Army Spc. Kimberly Montongo, Veterinary Service Support (VSS) veterinary food inspector attached to the Expeditionary Medical Facility (EMF), leads a presentation during a Food Safety Course with the Djibouti Ministry of Agriculture at Camp Lemonnier, Djibouti, Nov. 28, 2022. Participants received information on various topics ranging from food handling safety, storage, food reception, inspection and bacteriology. (Department of Defense photo by U.S. Air Force Senior Airman Destani K. Matheny)

A U.S. service member interacts with a local vendor at the Djiboutian crafts bazaar on Camp Lemonnier, Djibouti, Nov. 19, 2022. The bazaar supports the local economy and provides attendees the opportunity to purchase gifts for themselves, their friends or family members. (Department of Defense photo by U.S. Army Spc. Emily Held)

A vendor finalizes a sale at the Djiboutian crafts bazaar at Camp Lemonnier, Djiboutian, Nov.19, 2022. The bazaar supports the local economy and provides attendees the opportunity to purchase gifts for themselves, their friends or family members. (Department of Defense photo by U.S. Army Spc. Emily Held)

A Djiboutian vendor packages a vase for a customer at the Djiboutian crafts bazaar on Camp Lemonnier, Djibouti, Nov. 19, 2022. The U.S. Embassy in Djibouti, Djibouti Minister of Tourism and Crafts, Djibouti Chamber of Commerce and women’s artist guild have been working closely to emphasize equity and inclusion in event participation. This year’s Bazaar included a diverse group of vendors and artisans from the different regions and ethnic groups of Djibouti, and 19 vendors with 10 assistants participated. (Department of Defense photo by U.S. Army Spc. Emily Held)

A U.S. service member shakes hands with a local vendor after purchasing from her booth at the Djiboutian crafts bazaar on Camp Lemonnier, Djibouti, Nov. 19, 2022. The bazaar supports the local economy and provides attendees the opportunity to purchase gifts for themselves, their friends or family members. (Department of Defense photo by U.S. Army Spc. Emily Held)

Base personnel and U.S. service members attend the semiannual Djiboutian crafts bazaar with an assortment of handmade items and clothing from Djiboutian vendors at Camp Lemonnier, Djibouti, Nov.19, 2022. The bazaar supports the local economy and provides attendees the opportunity to purchase gifts for themselves, their friends or family members. (Department of Defense photo by U.S. Army Spc. Emily Held)

Two service members interact with a local artisan at a Djibouti crafts bazaar at Camp Lemonnier, Djibouti, Nov.19, 2022. The bazaar supports the local economy and provides attendees the opportunity to purchase gifts for themselves, their friends or family members. (Department of Defense photo by U.S. Army Spc. Emily Held)

A local vendor poses by his hand-painted artwork at the Djiboutian crafts bazaar at Camp Lemonnier, Djibouti, Nov. 19, 2022. The U.S. Embassy in Djibouti, Djibouti Minister of Tourism and Crafts, Djibouti Chamber of Commerce and women’s artist guild have been working closely to emphasize equity and inclusion in event participation. This year’s bazaar included a diverse group of vendors and artisans from the different regions and ethnic groups of Djibouti, and 19 vendors with 10 assistants participated. (Department of Defense photo by U.S. Army Spc. Emily Held)

U.S. Army Maj. Joy Staab, Combined Joint Task Force - Horn of Africa Joint Visitors Bureau director, shops at a local vendor’s booth at a Djiboutian crafts bazaar on Camp Lemonnier, Djibouti, Nov.19, 2022. The bazaar supports the local economy and provides attendees the opportunity to purchase gifts for themselves, their friends or family members. (Department of Defense photo by U.S. Army Spc. Emily Held)

Base personnel and U.S. service members attend the semiannual Djiboutian crafts bazaar with an assortment of handmade items and clothing from Djiboutian vendors at Camp Lemonnier, Djibouti, Nov.19, 2022. The bazaar supports the local economy and provides attendees the opportunity to purchase gifts for themselves, their friends or family members. (Department of Defense photo by U.S. Army Spc. Emily Held)

Military Tropical Medicine Course participants observe a presentation at Camp Lemonnier, Djibouti, Oct. 31, 2022. The course brought together joint and allied partners for tropical medical education. The course was designed to train physicians, mid-level practitioners, nurses, medics and all other allied health professionals. (Department of Defense photo by U.S. Air Force Senior Airman Destani K. Matheny)

A Japanese medical professional attends a Military Tropical Medicine Course at Camp Lemonnier, Djibouti, Oct. 31, 2022. The course brought together joint and allied partners for tropical medical education. The course was designed to train physicians, mid-level practitioners, nurses, medics and all other allied health professionals. (Department of Defense photo by U.S. Air Force Senior Airman Destani K. Matheny)