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)

A member of the Combined Joint Task Force - Horn of Africa surgeon cell stretches a tourniquet to see how tight they must pull the material over a wound during 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)

U.S. Air Force Maj. Miesha Sheffey, Combined Joint Task Force - Horn of Africa surgeon cell preventive medicine officer, speaks during 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)

A class participant learns how to apply a military working dog tourniquet on a simulated canine patient during 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)

A subject matter expert gives a presentation during 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)

U.S. Navy Lt. Cmdr. Laura J. Gilbert, Combined Joint Task Force - Horn of Africa surgeon cell infectious diseases staff physician, speaks during 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)

The partner nation flags of Combined Joint Task Force - Horn of Africa (CJTF-HOA) are displayed at the ceremony for a Partner Appreciation Day 2022 event at Camp Lemonnier, Djibouti, Nov. 10, 2022. Partner nations of CJTF-HOA organized static and interactive displays to showcase the combined military capabilities the task force employs to combat violent extremist groups in the region. (Department of Defense photo by U.S. Air Force Staff Sgt. Dallin Wrye)

U.S. service members pose for a photo next to an armored vehicle display during the Combined Joint Task Force - Horn of Africa Partner Appreciation Day 2022 event at Camp Lemonnier, Djibouti, Nov. 10, 2022. Task force allies and partners set up static and interactive displays to showcase their combined military capabilities. (Defense Department courtesy photo)

From left to right, the Honorable Jonathan Pratt, U.S. Ambassador to Djibouti; Djibouti Armed Forces Col. Maj. Mohamed Guelleh, senior official of Forces Armees Djiboutiennes; U.S. Army Maj. Gen. Jami Shawley, Combined Joint Task Force - Horn of Africa (CJTF-HOA) commanding general; and U.S. Navy Capt. Brian Iber, Camp Lemonnier commanding officer, pose for a photo during the CJTF-HOA Partner Appreciation Day 2022 event at Camp Lemonnier, Djibouti, Nov. 10, 2022. The plaque was presented to Gueller as a symbol of appreciation for the 20 years of partnership and cooperation between the U.S. and Djiboutian governments. (Department of Defense photo by U.S. Air Force Staff Sgt. Dallin Wrye)

Guests are seated during the ceremony portion of the Combined Joint Task Force - Horn of Africa Partner Appreciation Day 2022 event at Camp Lemonnier, Djibouti, Nov. 10, 2022. The event celebrated the 20th anniversary of the arrival of U.S. service members in Djibouti after the terrorist attacks of 9/11. (Department of Defense photo by U.S. Air Force Staff Sgt. Dallin Wrye)

U.S. Army Maj. Chad Brinton, Office of Security Cooperation chief for the U.S. Embassy to Djibouti, talks with Djiboutian Navy Commander Col. Ahmed Djama during the Combined Joint Task Force - Horn of Africa (CJTF-HOA) Partner Appreciation Day 2022 event at Camp Lemonnier, Djibouti, Nov. 10, 2022. More than 200 guests participated in the event designed to showcase combined military capabilities and celebrate the enduring partnerships of CJTF-HOA. (Department of Defense photo by Staff Sgt. Dallin Wrye)

Participants of the Combined Joint Task Force - Horn of Africa (CJTF-HOA) Partner Appreciation Day 2022 event interact with a military capabilities display Nov. 10, 2022, at Camp Lemonnier, Djibouti. Partner nations of CJTF-HOA organized static and interactive displays to showcase the combined military capabilities the task force employs to combat violent extremist groups in the region. (Department of Defense courtesy photo)

From left to right, U.S. Navy Capt. Brian Iber, Camp Lemonnier commanding officer; Djibouti Armed Forces Col. Maj. Mohamed Guelleh, senior official of Forces Armees Djiboutiennes (FAD); U.S. Army Maj. Gen. Jami Shawley, Combined Joint Task Force - Horn of Africa commanding general; and the Honorable Jonathan Pratt, U.S. Ambassador to Djibouti, salute the U.S. and Djibouti flag during the national anthem at a Partner Appreciation Day 2022 event at Camp Lemonnier, Djibouti, Nov. 10, 2022. Pratt and Shawley spoke at the ceremony about the power of cooperation and the enduring friendship among the task force partner nations. (Department of Defense photo by U.S. Air Force Senior Airman Destani K. Matheny)

Guests gather for the official ceremony of the Combined Joint Task Force - Horn of Africa Partner Appreciation Day 2022 event at Camp Lemonnier, Djibouti, Nov. 10, 2022. The event celebrated the 20th anniversary of the arrival of U.S. service members in Djibouti after the terrorist attacks of 9/11. (Department of Defense photo by U.S. Air Force Senior Airman Bryan Guthrie)

U.S. Army Maj. Gen. Jami Shawley, commanding general of Combined Joint Task Force - Horn of Africa, delivers remarks to guests of the Partner Appreciation Day 2022 event at Camp Lemonnier, Djibouti, Nov. 10, 2022. The event celebrated the 20th anniversary of the arrival of U.S. service members in Djibouti after the terrorist attacks of 9/11. (Defense Department courtesy photo)

U.S. Army Maj. Gen. Jami Shawley, commanding general of Combined Joint Task Force - Horn of Africa (CJTF-HOA), delivers remarks to guests of the CJTF-HOA Partner Appreciation Day 2022 event at Camp Lemonnier, Djibouti, Nov. 10, 2022. The event celebrated the 20th anniversary of the arrival of U.S. service members in Djibouti after the terrorist attacks of 9/11. (Department of Defense photo by U.S. Air Force Senior Airman Destani K. Matheny)

U.S. and coalition service members participate in the Combined Joint Task Force - Horn of Africa Partner Appreciation Day 2022 event at Camp Lemonnier, Djibouti, Nov. 10, 2022. The event celebrated the 20th anniversary of the arrival of U.S. service members in Djibouti after the terrorist attacks of 9/11. (Department of Defense photo by U.S. Air Force Destani K. Matheny)