A Djiboutian anesthetist checks for signs of breathing while partnered with U.S. Army Capt. Jessica Campion, registered nurse, Civil Affairs Functional Specialty Team, Southern European Task Force – Africa (SETAF-AF) during an exchange of CPR best practices at Ali Sabieh Hospital, Djibouti, Aug. 19, 2021. The engagement served to reinforce proper CPR practices on adults, adolescents and infants through an exchange of techniques, experiences and hands-on demonstrations. Civil Affairs Soldiers stationed at Camp Lemonnier, Djibouti, regularly conduct civil-military operations within the region. Civil Affairs Soldiers engage and partner with communities around the world to reduce the root causes of instability, enable local governments and improve the quality of life for civilians caught in crisis zones. SETAF-AF is responsible for achieving U.S. Africa Command and U.S. Army Campaign Plan objectives while conducting all U.S. Army operations, exercises and security cooperation on the African continent. (U.S. Air Force photo by Senior Airman Andrew Kobialka)

U.S. Navy petty officer third class Bryan Reed, hospital corpsman, Civil Affairs Functional Specialty Team, Southern European Task Force – Africa (SETAF-AF), performed chest compressions with Djiboutian healthcare providers during an exchange of CPR best practices at Ali Sabieh Hospital, Djibouti, Aug. 19, 2021. The engagement served to reinforce proper CPR practices on adults, adolescents and infants through an exchange of techniques, experiences and hands-on demonstrations. Civil Affairs Soldiers stationed at Camp Lemonnier, Djibouti, regularly conduct civil-military operations within the region. Civil Affairs Soldiers engage and partner with communities around the world to reduce the root causes of instability, enable local governments and improve the quality of life for civilians caught in crisis zones. SETAF-AF is responsible for achieving U.S. Africa Command and U.S. Army Campaign Plan objectives while conducting all U.S. Army operations, exercises and security cooperation on the African continent. (U.S. Air Force photo by Senior Airman Andrew Kobialka)

Djiboutian healthcare providers perform CPR while partnered with U.S. Army Capt. Jessica Campion, registered nurse, Civil Affairs Functional Specialty Team, Southern European Task Force – Africa (SETAF-AF) during an exchange of CPR best practices at Ali Sabieh Hospital, Djibouti, Aug. 19, 2021. The engagement served to reinforce proper CPR practices on adults, adolescents and infants through an exchange of techniques, experiences and hands-on demonstrations. Civil Affairs Soldiers stationed at Camp Lemonnier, Djibouti, regularly conduct civil-military operations within the region. Civil Affairs Soldiers engage and partner with communities around the world to reduce the root causes of instability, enable local governments and improve the quality of life for civilians caught in crisis zones. SETAF-AF is responsible for achieving U.S. Africa Command and U.S. Army Campaign Plan objectives while conducting all U.S. Army operations, exercises and security cooperation on the African continent. (U.S. Air Force photo by Senior Airman Andrew Kobialka)

Across the world, building strong relationships takes good communication. But what happens when you don't speak the same language? Fatouma Omar Guedi is an interpreter for Civil Affairs Functional Specialty Team, Southern European Task Force – Africa. Fatouma speaks four languages fluently (English, Somali, Afar and French) and is learning more. Fatouma uses her knowledge to aid U.S. military humanitarian missions within Djibouti, Africa. The ability to overcome the language barrier between the U.S. and African partners is critical to building trust and goodwill between the U.S. and the Djiboutian community and governing officials. (U.S. Air Force photo by Senior Airman Andrew Kobialka)

U.S. Navy divers assigned to the Explosive Ordnance Disposal (EOD) team, Combined Joint Task Force - Horn of Africa (CJTF-HOA), highlight their mobile decompression chamber at Camp Lemonnier, Djibouti, Aug. 17, 2021. The decompression chamber supports the region by providing a high-pressure environment to treat decompression sickness, gas embolisms and carbon monoxide poisoning for U.S., allied and partner nations. Patients enter a small, confined chamber with just enough room for the patient and one other individual, the tender. The tender is typically a diving medical technician trained to endure the pressurized environment while ensuring proper patient care. Treatment includes cycling between breathing 100 percent oxygen to breathing natural chamber atmosphere. Flooding the body with oxygen in combination with increased atmospheric pressure shrinks gaseous bubbles that can form in bodily tissue, clears the body of carbon monoxide and promotes healing to damaged tissues. The process takes a minimum of five hours and up to three days, in extreme cases. In worst-case scenarios, if a diving medical technician is not available to tend a patient, non-diving medical personnel may fill the responsibility. In an effort to enhance mission readiness, EOD has hosted a demonstration for Camp Lemmonier healthcare providers to better familiarize them with the chamber’s capabilities. The decompression chamber is a mobile unit, capable of being lifted by several men and transported by vehicle or vessel. The chamber adds an extra layer of response readiness for service members operating in the region, enhancing CJTF-HOA’s ability to complete command missions. (U.S. Air Force photo by Senior Airman Andrew Kobialka)

U.S. Navy divers assigned to the Explosive Ordnance Disposal (EOD) team, Combined Joint Task Force - Horn of Africa (CJTF-HOA), highlight their mobile decompression chamber at Camp Lemonnier, Djibouti, Aug. 17, 2021. The decompression chamber supports the region by providing a high-pressure environment to treat decompression sickness, gas embolisms and carbon monoxide poisoning for U.S., allied and partner nations. Patients enter a small, confined chamber with just enough room for the patient and one other individual, the tender. The tender is typically a diving medical technician trained to endure the pressurized environment while ensuring proper patient care. Treatment includes cycling between breathing 100 percent oxygen to breathing natural chamber atmosphere. Flooding the body with oxygen in combination with increased atmospheric pressure shrinks gaseous bubbles that can form in bodily tissue, clears the body of carbon monoxide and promotes healing to damaged tissues. The process takes a minimum of five hours and up to three days, in extreme cases. In worst-case scenarios, if a diving medical technician is not available to tend a patient, non-diving medical personnel may fill the responsibility. In an effort to enhance mission readiness, EOD has hosted a demonstration for Camp Lemmonier healthcare providers to better familiarize them with the chamber’s capabilities. The decompression chamber is a mobile unit, capable of being lifted by several men and transported by vehicle or vessel. The chamber adds an extra layer of response readiness for service members operating in the region, enhancing CJTF-HOA’s ability to complete command missions. (U.S. Air Force photo by Senior Airman Andrew Kobialka)

U.S. Navy divers assigned to the Explosive Ordnance Disposal (EOD) team, Combined Joint Task Force - Horn of Africa (CJTF-HOA), highlight their mobile decompression chamber at Camp Lemonnier, Djibouti, Aug. 17, 2021. The decompression chamber supports the region by providing a high-pressure environment to treat decompression sickness, gas embolisms and carbon monoxide poisoning for U.S., allied and partner nations. Patients enter a small, confined chamber with just enough room for the patient and one other individual, the tender. The tender is typically a diving medical technician trained to endure the pressurized environment while ensuring proper patient care. Treatment includes cycling between breathing 100 percent oxygen to breathing natural chamber atmosphere. Flooding the body with oxygen in combination with increased atmospheric pressure shrinks gaseous bubbles that can form in bodily tissue, clears the body of carbon monoxide and promotes healing to damaged tissues. The process takes a minimum of five hours and up to three days, in extreme cases. In worst-case scenarios, if a diving medical technician is not available to tend a patient, non-diving medical personnel may fill the responsibility. In an effort to enhance mission readiness, EOD has hosted a demonstration for Camp Lemmonier healthcare providers to better familiarize them with the chamber’s capabilities. The decompression chamber is a mobile unit, capable of being lifted by several men and transported by vehicle or vessel. The chamber adds an extra layer of response readiness for service members operating in the region, enhancing CJTF-HOA’s ability to complete command missions. (U.S. Air Force photo by Senior Airman Andrew Kobialka)

U.S. Navy divers assigned to the Explosive Ordnance Disposal (EOD) team, Combined Joint Task Force - Horn of Africa (CJTF-HOA), highlight their mobile decompression chamber at Camp Lemonnier, Djibouti, Aug. 17, 2021. The decompression chamber supports the region by providing a high-pressure environment to treat decompression sickness, gas embolisms and carbon monoxide poisoning for U.S., allied and partner nations. Patients enter a small, confined chamber with just enough room for the patient and one other individual, the tender. The tender is typically a diving medical technician trained to endure the pressurized environment while ensuring proper patient care. Treatment includes cycling between breathing 100 percent oxygen to breathing natural chamber atmosphere. Flooding the body with oxygen in combination with increased atmospheric pressure shrinks gaseous bubbles that can form in bodily tissue, clears the body of carbon monoxide and promotes healing to damaged tissues. The process takes a minimum of five hours and up to three days, in extreme cases. In worst-case scenarios, if a diving medical technician is not available to tend a patient, non-diving medical personnel may fill the responsibility. In an effort to enhance mission readiness, EOD has hosted a demonstration for Camp Lemmonier healthcare providers to better familiarize them with the chamber’s capabilities. The decompression chamber is a mobile unit, capable of being lifted by several men and transported by vehicle or vessel. The chamber adds an extra layer of response readiness for service members operating in the region, enhancing CJTF-HOA’s ability to complete command missions. (U.S. Air Force photo by Senior Airman Andrew Kobialka)

U.S. service members tour a local Djiboutian cathedral as part of a visit with the Caritas Orphanage, Djibouti, Aug. 05, 2021. U.S. military Chaplains bring service members to the cathedral and orphanage as an opportunity to support staff members and identify future needs in the community. (U.S. Air Force photo by Senior Airman Andrew Kobialka)

U.S. service members tour a local Djiboutian cathedral as part of a visit with the Caritas Orphanage, Djibouti, Aug. 05, 2021. U.S. military Chaplains bring service members to the cathedral and orphanage as an opportunity to support staff members and identify future needs in the community. (U.S. Air Force photo by Senior Airman Andrew Kobialka)

U.S. service members tour a local Djiboutian cathedral as part of a visit with the Caritas Orphanage, Djibouti, Aug. 05, 2021. U.S. military Chaplains bring service members to the cathedral and orphanage as an opportunity to support staff members and identify future needs in the community. (U.S. Air Force photo by Senior Airman Andrew Kobialka)

U.S. service members visit and play games with children at Caritas Orphanage, Djibouti, Aug. 05, 2021. U.S. military Chaplains bring service members to the orphanage as an opportunity to support staff members and identify future needs in the community. (U.S. Air Force photo by Senior Airman Andrew Kobialka)

U.S. service members visit and play games with children at Caritas Orphanage, Djibouti, Aug. 05, 2021. U.S. military Chaplains bring service members to the orphanage as an opportunity to support staff members and identify future needs in the community. (U.S. Air Force photo by Senior Airman Andrew Kobialka)

U.S. service members tour a local Djiboutian cathedral as part of a visit with the Caritas Orphanage, Djibouti, Aug. 05, 2021. U.S. military Chaplains bring service members to the cathedral and orphanage as an opportunity to support staff members and identify future needs in the community. (U.S. Air Force photo by Senior Airman Andrew Kobialka)

U.S. service members tour a local Djiboutian cathedral as part of a visit with the Caritas Orphanage, Djibouti, Aug. 05, 2021. U.S. military Chaplains bring service members to the cathedral and orphanage as an opportunity to support staff members and identify future needs in the community. (U.S. Air Force photo by Senior Airman Andrew Kobialka)

U.S. service members visit and play games with children at Caritas Orphanage, Djibouti, Aug. 05, 2021. U.S. military Chaplains bring service members to the orphanage as an opportunity to support staff members and identify future needs in the community. (U.S. Air Force photo by Senior Airman Andrew Kobialka)

U.S. service members visit and play games with children at Caritas Orphanage, Djibouti, Aug. 05, 2021. U.S. military Chaplains bring service members to the orphanage as an opportunity to support staff members and identify future needs in the community. (U.S. Air Force photo by Senior Airman Andrew Kobialka)

U.S. service members visit and play games with children at Caritas Orphanage, Djibouti, Aug. 05, 2021. U.S. military Chaplains bring service members to the orphanage as an opportunity to support staff members and identify future needs in the community. (U.S. Air Force photo by Senior Airman Andrew Kobialka)

U.S. service members visit and play games with children at Caritas Orphanage, Djibouti, Aug. 05, 2021. U.S. military Chaplains bring service members to the orphanage as an opportunity to support staff members and identify future needs in the community. (U.S. Air Force photo by Senior Airman Andrew Kobialka)

U.S. service members tour a local Djiboutian cathedral as part of a visit with the Caritas Orphanage, Djibouti, Aug. 05, 2021. U.S. military Chaplains bring service members to the cathedral and orphanage as an opportunity to support staff members and identify future needs in the community. (U.S. Air Force photo by Senior Airman Andrew Kobialka)

Maj. Gen. Williiam Zana, Commanding General, Combined Joint Task Force - Horn of Africa, tours the cockpit of a KC-130J Super Hercules assigned to the Marine Aerial Refueler Transport Squadron - 234rd, at Camp Lemonnier, Djibouti, August 12, 2021. Camp Lemonnier enables U.S., allied and partner nation forces to support operational and crisis response missions in Europe, Africa and Southwest Asia. (U.S. Air Force photo by Senior Airman Andrew Kobialka)

U.S. Marines assigned to the Marine Aerial Refueler Transport Squadron - 234, listens to Maj. Gen. Williiam Zana, Commanding General, Combined Joint Task Force - Horn of Africa, recognize their contributions to the mission at Camp Lemonnier, Djibouti, August 12, 2021. Camp Lemonnier enables U.S., allied and partner nation forces to support operational and crisis response missions in Europe, Africa and Southwest Asia. (U.S. Air Force photo by Senior Airman Andrew Kobialka)

Maj. Gen. Williiam Zana, Commanding General, Combined Joint Task Force - Horn of Africa, thanks U.S. Marines assigned to the Marine Aerial Refueler Transport Squadron - 234, for their hardwork at Camp Lemonnier, Djibouti, August 12, 2021. Camp Lemonnier enables U.S., allied and partner nation forces to support operational and crisis response missions in Europe, Africa and Southwest Asia. (U.S. Air Force photo by Senior Airman Andrew Kobialka)

Maj. Gen. Williiam Zana, Commanding General, Combined Joint Task Force - Horn of Africa, greets U.S. Marines assigned to the Marine Aerial Refueler Transport Squadron - 234, at Camp Lemonnier, Djibouti, August 12, 2021. Camp Lemonnier enables U.S., allied and partner nation forces to support operational and crisis response missions in Europe, Africa and Southwest Asia. (U.S. Air Force photo by Senior Airman Andrew Kobialka)

Maj. Gen. Williiam Zana, Commanding General, Combined Joint Task Force - Horn of Africa, greets U.S. Marines assigned to the Marine Aerial Refueler Transport Squadron - 234, at Camp Lemonnier, Djibouti, August 12, 2021. Camp Lemonnier enables U.S., allied and partner nation forces to support operational and crisis response missions in Europe, Africa and Southwest Asia. (U.S. Air Force photo by Senior Airman Andrew Kobialka)

U.S. Navy Command Master Chief Petty Officer Alex Hebert, Command Senior Enlisted Leader, Combined Joint Task Force - Horn of Africa, tours a KC-130J Super Hercules assigned to the Marine Aerial Refueler Transport Squadron - 234rd, at Camp Lemonnier, Djibouti, August 12, 2021. Camp Lemonnier enables U.S., allied and partner nation forces to support operational and crisis response missions in Europe, Africa and Southwest Asia. (U.S. Air Force photo by Senior Airman Andrew Kobialka)

Maj. Gen. Williiam Zana, Commanding General, Combined Joint Task Force - Horn of Africa, tours a KC-130J Super Hercules assigned to the Marine Aerial Refueler Transport Squadron - 234rd, at Camp Lemonnier, Djibouti, August 12, 2021. Camp Lemonnier enables U.S., allied and partner nation forces to support operational and crisis response missions in Europe, Africa and Southwest Asia. (U.S. Air Force photo by Senior Airman Andrew Kobialka)

U.S. Army Capt. Craig Church, team chief, Civil Affairs Southern European Task Force – Africa, marches 15 kilometers with temperatures peaking at 108 degree fahrenheit during an overnight field training exercise at the Djiboutian Range Complex, Djibouti, Aug. 28-29, 2021. The exercise prepares service members for the French Desert Commando Course (FDCC) scheduled for mid-September. The course consists of knot tying, mountain confidence, basic infantry skills and night operations. The French Army invites a select number of U.S. service members to participate in the course where participants compete to earn the FDCC qualification badge upon successful completion of the course. (U.S. Air Force photo by Senior Airman Andrew Kobialka)

U.S. service members, Combined Joint Task Force-Horn of Africa, rest under a tree during an overnight field training exercise that covers 15 kilometers of marching at the Djiboutian Range Complex, Djibouti, Aug. 28-29, 2021. The exercise prepares service members for the French Desert Commando Course (FDCC) scheduled for mid-September. The course consists of knot tying, mountain confidence, basic infantry skills and night operations. The French Army invites a select number of U.S. service members to participate in the course where participants compete to earn the FDCC qualification badge upon successful completion of the course. (U.S. Air Force photo by Senior Airman Andrew Kobialka)

U.S. Army infantrymen with Task Force Iron Gray, Combined Joint Task Force – Horn of Africa (CJTF-HOA), fire the M4 carbine, M249 Squad Automatic Weapon and Common Remote Operated Weapons System with an M240B medium machine gun during a live-fire training exercise at the Djiboutian Range Complex, Djibouti, Aug. 24, 2021. Live-fire exercises validate a platoon’s proficiency to take command and control through reinforcing concepts like supporting fire, base of fire and synchronization of fires. CJTF-HOA, operating from Camp Lemonnier, Djibouti, is a dynamic operational headquarters that ensures strategic partnership with Djibouti, responds to crises, supports operations and protects U.S. interests in East Africa in order to enhance regional stability and prosperity. (U.S. Air Force photo by Senior Airman Andrew Kobialka)

U.S. Army Spc. Alexander Moreno, mechanic, Task Force Iron Gray, Combined Joint Task Force-Horn of Africa, cover their sectors during an overnight field training exercise at the Djiboutian Range Complex, Djibouti, Aug. 28-29, 2021. The exercise prepares service members for the French Desert Commando Course (FDCC) scheduled for mid-September. The course consists of knot tying, mountain confidence, basic infantry skills and night operations. The French Army invites a select number of U.S. service members to participate in the course where participants compete to earn the FDCC qualification badge upon successful completion of the course. (U.S. Air Force photo by Senior Airman Andrew Kobialka)

U.S. Army 2nd Lt. Andrew Solari, platoon leader, Task Force Iron Gray, Combined Joint Task Force-Horn of Africa, scans the surrounding area during a 15 kilometer foot march as part of an overnight field training exercise at the Djiboutian Range Complex, Djibouti, Aug. 28-29, 2021. The exercise prepares service members for the French Desert Commando Course (FDCC) scheduled for mid-September. The course consists of knot tying, mountain confidence, basic infantry skills and night operations. The French Army invites a select number of U.S. service members to participate in the course where participants compete to earn the FDCC qualification badge upon successful completion of the course. (U.S. Air Force photo by Senior Airman Andrew Kobialka)

U.S. Army soldier, Task Force Iron Gray, Combined Joint Task Force-Horn of Africa, uses a night optical device that allows sight in near total darnkness while performing an ambush during an overnight field training exercise at the Djiboutian Range Complex, Djibouti, Aug. 28-29, 2021. The exercise prepares service members for the French Desert Commando Course (FDCC) scheduled for mid-September. The course consists of knot tying, mountain confidence, basic infantry skills and night operations. The French Army invites a select number of U.S. service members to participate in the course where participants compete to earn the FDCC qualification badge upon successful completion of the course. (U.S. Air Force photo by Senior Airman Andrew Kobialka)

(U.S. Air Force photo by Senior Airman Andrew Kobialka)

U.S. Army Spc. Herbert Bagwell, alpha team leam, Task Force Iron Gray, Combined Joint Task Force-Horn of Africa, waits to perform an ambush during an overnight field training exercise at the Djiboutian Range Complex, Djibouti, Aug. 28-29, 2021. The exercise prepares service members for the French Desert Commando Course (FDCC) scheduled for mid-September. A select number of U.S. service members participate in a French-led course consisting of knot tying, mountain confidence, basic infantry skills and night operations. The FDCC serves provides an opportunity for the U.S. and French to share battle tactics and build trust. (U.S. Air Force photo by Senior Airman Andrew Kobialka)

U.S. Army infantrymen with Task Force Iron Gray, Combined Joint Task Force – Horn of Africa (CJTF-HOA), fire the M4 carbine, M249 Squad Automatic Weapon and Common Remote Operated Weapons System with an M240B medium machine gun during a live-fire training exercise at the Djiboutian Range Complex, Djibouti, Aug. 24, 2021. Live-fire exercises validate a platoon’s proficiency to take command and control through reinforcing concepts like supporting fire, base of fire and synchronization of fires. CJTF-HOA, operating from Camp Lemonnier, Djibouti, is a dynamic operational headquarters that ensures strategic partnership with Djibouti, responds to crises, supports operations and protects U.S. interests in East Africa in order to enhance regional stability and prosperity. (U.S. Air Force photo by Senior Airman Andrew Kobialka)

U.S. Army infantrymen with Task Force Iron Gray, Combined Joint Task Force – Horn of Africa (CJTF-HOA), provide suppressive fire during a live-fire training exercise at the Djiboutian Range Complex, Djibouti, Aug. 24, 2021. Live-fire exercises validate a platoon’s proficiency to take command and control through reinforcing concepts like supporting fire, base of fire and synchronization of fires. CJTF-HOA, operating from Camp Lemonnier, Djibouti, is a dynamic operational headquarters that ensures strategic partnership with Djibouti, responds to crises, supports operations and protects U.S. interests in East Africa in order to enhance regional stability and prosperity. (U.S. Air Force photo by Senior Airman Andrew Kobialka)

U.S. Army Soldiers with Task Force Iron Gray, Combined Joint Task Force – Horn of Africa (CJTF-HOA), gather their gear in preparation for a live-fire training exercise at Camp Lemonnier, Djibouti, Aug. 24, 2021. Live-fire exercises validate a platoon’s proficiency to take command and control through reinforcing concepts like supporting fire, base of fire and synchronization of fires. CJTF-HOA, operating from Camp Lemonnier, Djibouti, is a dynamic operational headquarters that ensures strategic partnership with Djibouti, responds to crises, supports operations and protects U.S. interests in East Africa in order to enhance regional stability and prosperity. (U.S. Air Force photo by Senior Airman Andrew Kobialka)

U.S. Army infantrymen with Task Force Iron Gray, Combined Joint Task Force – Horn of Africa (CJTF-HOA), provide suppressive fire during a live-fire training exercise at the Djiboutian Range Complex, Djibouti, Aug. 24, 2021. Live-fire exercises validate a platoon’s proficiency to take command and control through reinforcing concepts like supporting fire, base of fire and synchronization of fires. CJTF-HOA, operating from Camp Lemonnier, Djibouti, is a dynamic operational headquarters that ensures strategic partnership with Djibouti, responds to crises, supports operations and protects U.S. interests in East Africa in order to enhance regional stability and prosperity. (U.S. Air Force photo by Senior Airman Andrew Kobialka)

U.S. Army Soldiers assigned to Task Force Iron Gray, Combined Joint Task Force – Horn of Africa (CJTF-HOA), ride in a Light Medium Tactical Vehicle while convoying to the Djiboutian Range Complex, Djibouti, Aug. 24, 2021, to conduct a live-fire exercise. Live-fire exercises validate a platoon’s proficiency to take command and control through reinforcing concepts like supporting fire, base of fire and synchronization of fires. CJTF-HOA, operating from Camp Lemonnier, Djibouti, is a dynamic operational headquarters that ensures strategic partnership with Djibouti, responds to crises, supports operations and protects U.S. interests in East Africa in order to enhance regional stability and prosperity. (U.S. Air Force photo by Senior Airman Andrew Kobialka)