U.S. Navy Seabees assigned to Naval Mobile Construction Battalion 1, Combined Joint Task Force-Horn of Africa, Camp Lemonnier, Djibouti, build a fence during the construction of the future Ali Oune, Djibouti, Women’s Medical Clinic, Dec. 27, 2018. The clinic is intended to enhance the Ministry of Health for Djibouti’s ability to provide basic medical, birth and after care to the Ali Oune village and its more than 1,000 residents and rural neighbors. (U.S. Air Force photo by Tech. Sgt. Shawn Nickel)

U.S. Navy Seaman Tyler Hill, a Seabee assigned to Naval Mobile Construction Battalion 1, Combined Joint Task Force-Horn of Africa, Camp Lemonnier, Djibouti, builds a fence during the construction of the future Ali Oune, Djibouti, Women’s Medical Clinic, Dec. 27, 2018. The clinic is intended to enhance the Ministry of Health for Djibouti’s ability to provide basic medical, birth and after care to the Ali Oune village and its more than 1,000 residents and rural neighbors. (U.S. Air Force photo by Tech. Sgt. Shawn Nickel)

U.S. Navy Petty Officer 3rd Class Austin Cox, left, and Michael Morin, Seabees assigned to Naval Mobile Construction Battalion 1, Combined Joint Task Force-Horn of Africa, Camp Lemonnier, Djibouti, build a fence during the construction of the future Ali Oune, Djibouti, Women’s Medical Clinic, Dec. 27, 2018. The clinic is intended to enhance the Ministry of Health for Djibouti’s ability to provide basic medical, birth and after care to the Ali Oune village and its more than 1,000 residents and rural neighbors. (U.S. Air Force photo by Tech. Sgt. Shawn Nickel)

U.S. Army Spc. Christine Cantor, assigned to the Combined Joint Task Force-Horn of Africa communications directorate, explains safety while setting up a satellite unit during an Africa Data Sharing Network (ADSN), version two, information exchange with Djibouti Army (FAD) soldiers at FAD Headquarters, Djibouti, Dec. 26, 2018. The ADSN works as an internal network that the African Union Mission in Somalia troop-contributing countries can use to communicate and share information amongst each other. (U.S. Air Force photo by Tech. Sgt. Shawn Nickel)

U.S. Army Staff Sgt. Jerry Alvarez, Combined Joint Task Force-Horn of Africa communications directorate NCO in charge, gives opening remarks during an Africa Data Sharing Network (ADSN), version two, information exchange with Djibouti Army (FAD) soldiers at FAD Headquarters, Djibouti, Dec. 26, 2018. The ADSN works as an internal network that the African Union Mission in Somalia troop-contributing countries can use to communicate and share information amongst each other. (U.S. Air Force photo by Tech. Sgt. Shawn Nickel)

U.S. Army Spc. Bretton Millar, assigned to the Combined Joint Task Force-Horn of Africa communications directorate, explains the importance of leveling a satellite unit during an Africa Data Sharing Network (ADSN), version two, information exchange with Djibouti Army (FAD) soldiers at FAD Headquarters, Djibouti, Dec. 26, 2018. The ADSN works as an internal network that the African Union Mission in Somalia troop-contributing countries can use to communicate and share information amongst each other. (U.S. Air Force photo by Tech. Sgt. Shawn Nickel)

U.S. Army Spc. Legend Khotsombath, assigned to the Combined Joint Task Force-Horn of Africa communications directorate, explains parts of a satellite unit during an Africa Data Sharing Network (ADSN), version two, information exchange with Djibouti Army (FAD) soldiers at FAD Headquarters, Djibouti, Dec. 26, 2018. The ADSN works as an internal network that the African Union Mission in Somalia troop-contributing countries can use to communicate and share information amongst each other. (U.S. Air Force photo by Tech. Sgt. Shawn Nickel)

U.S. Army Spc. Bretton Millar, assigned to the Combined Joint Task Force-Horn of Africa communications directorate, explains the importance of leveling a satellite unit during an Africa Data Sharing Network (ADSN), version two, information exchange with Djibouti Army (FAD) soldiers at FAD Headquarters, Djibouti, Dec. 26, 2018. The ADSN works as an internal network that the African Union Mission in Somalia troop-contributing countries can use to communicate and share information amongst each other. (U.S. Air Force photo by Tech. Sgt. Shawn Nickel)

U.S. Army Pfc. Jessie Sallee-Hicks, assigned to Bravo Company, 1st Battalion, 26th Infantry Regiment, 101st Airborne Division, treats a Soldier for an abdominal wound and eye injuring during training for the Expert Infantryman Badge at Camp Lemonnier, Djibouti, Dec. 18, 2018. Members of the Fort Campbell, Kentucky unit demonstrated a mastery of critical skills that reinforce their ability to respond to emergency situations at U.S. Embassies in the East African region as members of the Combined Joint Task Force-Horn of Africa (CJTF-HOA), East Africa Response Force (EARF).

U.S. Army Staff Sgt. Tyler Wisely, assigned to Bravo Company, 1st Battalion, 26th Infantry Regiment, 101st Airborne Division, shows his Soldier the '00' on the stopwatch before testing him on his ability to disable a bunker with a hand grenade during training for the Expert Infantryman Badge at Camp Lemonnier, Djibouti, Dec. 18, 2018. Members of the Fort Campbell, Kentucky unit demonstrated a mastery of critical skills that reinforce their ability to respond to emergency situations at U.S. Embassies in the East African region as members of the Combined Joint Task Force-Horn of Africa (CJTF-HOA), East Africa Response Force (EARF).

A U.S. Army Soldier, assigned to Bravo Company, 1st Battalion, 26th Infantry Regiment, 101st Airborne Division, high crawls to disable a bunker with a hand grenade during training for the Expert Infantryman Badge at Camp Lemonnier, Djibouti, Dec. 18, 2018. Members of the Fort Campbell, Kentucky unit demonstrated a mastery of critical skills that reinforce their ability to respond to emergency situations at U.S. Embassies in the East African region as members of the Combined Joint Task Force-Horn of Africa (CJTF-HOA), East Africa Response Force (EARF).

U.S. Army Soldiers from 1st Battalion, 141st Infantry Regiment, Task Force Alamo, Texas National Guard, deployed to Combined Joint Task Force-Horn of Africa, Djibouti, perform a buddy lift while caring for a simulated casualty during the first-ever U.S. military exercise at the Port of Djibouti, Dec. 19, 2018. The casualty evacuation exercise tested response time in case of a combat injury and included U.S. Navy, Army and Djibouti Port Authority assets. (U.S. Air Force photo by Tech. Sgt. Shawn Nickel)

U.S. Navy Capt. Charles DeGilio, left, commanding officer, Camp Lemonnier, Djibouti, ensures Task Force Alamo weapons are safe and clear of ammunition prior to the first-ever U.S. military exercise at the Port of Djibouti, Djibouti, Dec. 19, 2018. The exercise integrated U.S. Navy, Army and Djibouti Port Authority assets. (U.S. Air Force photo by Tech. Sgt. Shawn Nickel)

U.S. Navy Sailors from Coastal Riverine Squadron 8, Camp Lemonnier, Djibouti, transfer a simulated casualty off a Rigid Hull Inflatable Boat during the first-ever U.S. military exercise at the Port of Djibouti, Djibouti, Dec. 19, 2018. The exercise integrated U.S. Navy, Army and Djibouti Port Authority assets. (U.S. Air Force photo by Tech. Sgt. Shawn Nickel)

U.S. Army Soldiers from 1st Battalion, 141st Infantry Regiment, Task Force Alamo, Texas National Guard, deployed to Combined Joint Task Force-Horn of Africa (CJTF-HOA), Djibouti, receive a simulated casualty from U.S. Navy Sailors assigned to Coastal Riverine Squadron 8, CJTF-HOA, during the first-ever U.S. military exercise at the Port of Djibouti, Dec. 19, 2018. The casualty evacuation exercise tested response time in case of a combat injury and included U.S. Navy, Army and Djibouti Port Authority assets. (U.S. Air Force photo by Tech. Sgt. Shawn Nickel)

U.S. Army Spc. Kaleb Steffens, gunner, Delta Company, 4th Platoon, 1st Battalion 141st Infantry Regiment, Task Force Alamo, Texas National Guard, deployed to Combined Joint Task Force-Horn of Africa (CJTF-HOA), Djibouti, fires a .50-caliber Common Remotely Operated Weapon Station on top of a Mine-Resistant Ambush-Protected vehicle during training at a military range in Djibouti, Dec. 15, 2018. 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. Air Force photo by Tech. Sgt. Shawn Nickel)

U.S. Army Soldiers from Delta Company, 1st Battalion, 141st Infantry Regiment, Task Force Alamo, Texas National Guard, deployed to Combined Joint Task Force-Horn of Africa (CJTF-HOA), Djibouti, move a target during training at a military range in Djibouti, Dec. 15, 2018. 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. Air Force photo by Tech. Sgt. Shawn Nickel)

U.S. Army Spc. Kaleb Steffens, gunner, Delta Company, 4th Platoon, 1st Battalion 141st Infantry Regiment Task Force Alamo, Texas National Guard, deployed to Combined Joint Task Force-Horn of Africa (CJTF-HOA), Djibouti, prepares a .50-caliber Common Remotely Operated Weapon Station on top of a Mine-Resistant Ambush-Protected vehicle during training at a military range in Djibouti, Dec. 15, 2018. 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. Air Force photo by Tech. Sgt. Shawn Nickel)

U.S. Army 1st Lt. Curtis May, executive officer, Delta Company, 1st Battalion, 141st Infantry Regiment, Task Force Alamo, Texas National Guard, deployed to Combined Joint Task Force-Horn of Africa (CJTF-HOA), Djibouti, discusses range safety prior to training at a military range in Djibouti, Dec. 15, 2018. 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. Air Force photo by Tech. Sgt. Shawn Nickel)

U.S. Army Lt. Col. Delnora Erickson, left, officer in charge, 403rd Civil Affairs Battalion functional specialty team, assigned to Combined Joint Task Force-Horn of Africa (CJTF-HOA), Camp Lemonnier, Djibouti, and U.S. Army Maj. Dionicia Russell, a public health nurse assigned to the 403rd Civil Affairs Battalion, meet with Rwanda Defence Force Col. Eugene Ngoga, Rwanda Military Hospital (RMH) clinical director, at the RMH in Kigali, Rwanda, Nov. 30, 2018. Erickson and Russell were at RMH participating in a weeklong subject matter expert exchange alongside U.S. military medical personnel assigned to CJTF-HOA and Landstuhl Regional Health Center, Germany. (U.S. Navy photo by Mass Communication Specialist 2nd Class Timothy M. Ahearn)

U.S. Army Lt. Col. Peter O’Connor, an ear, nose and throat surgeon and chief of surgery at Landstuhl Regional Health Center (RHC), Germany, assists Rwanda Defence Force Maj. Jonathan Bukuru, an ear, nose and throat doctor, while preforming a tonsillectomy at the Rwanda Military Hospital (RMH) in Kigali, Rwanda, Nov. 28, 2018. O’Connor was at RMH participating in a weeklong subject matter expert exchange alongside U.S. military medical personnel assigned to Combined Joint Task Force- Horn of Africa and Landstuhl RHC. (U.S. Navy photo by Mass Communication Specialist 2nd Class Timothy M. Ahearn)

U.S. Army Maj. Dionicia Russell, a public health nurse assigned to the 403rd Civil Affairs Battalion functional specialty team, assigned to Combined Joint Task Force-Horn of Africa (CJTF-HOA), Camp Lemonnier, Djibouti, presents a leadership seminar at the Rwanda Military Hospital (RMH) in Kigali, Rwanda, Nov. 27, 2018. Russell was at RMH participating in a weeklong subject matter expert exchange alongside U.S. military medical personnel assigned CJTF-HOA and Landstuhl Regional Health Center, Germany. (U.S. Navy photo by Mass Communication Specialist 2nd Class Timothy M. Ahearn)

U.S. Army Lt. Col. Peter O’Connor, an ear, nose and throat surgeon and chief of surgery at Landstuhl Regional Health Center (RHC), Germany, and U.S. Army Lt. Col. Delnora Erickson, a radiation oncologist and officer in charge, 403rd Civil Affairs Battalion functional specialty team, assigned to Combined Joint Task Force-Horn of Africa (CJTF-HOA), Camp Lemonnier, Djibouti, review a print of a patient’s computerized tomography scan at the Rwanda Military Hospital (RMH) in Kigali, Rwanda, Nov. 27, 2018. O’Connor and Erickson were at RMH participating in a weeklong subject matter expert exchange alongside U.S. military medical personnel assigned to CJTF-HOA and Landstuhl RHC. (U.S. Navy photo by Mass Communication Specialist 2nd Class Timothy M. Ahearn)

Amb. Peter Vrooman, U.S. Ambassador to Rwanda, listens during a meeting at the Combined Joint Task Force-Horn of Africa (CJTF-HOA) East Africa Security Forum (EASF) at Camp Lemonnier, Djibouti, Dec. 13, 2018. The EASF provides opportunities for CJTF-HOA and interagency leaders to assess and align efforts, and develop synchronized courses of action that support common goals. (U.S. Navy photo by Mass Communication Specialist 1st Class Nick Scott)

Irvin Hicks Jr., foreign policy advisor (POLAD) for Combined Joint Task Force-Horn of Africa (CJTF-HOA), addresses U.S. diplomats and joint service personnel at a meeting during the CJTF-HOA East Africa Security Forum (EASF) at Camp Lemonnier, Djibouti, Dec. 13, 2018. The EASF provides opportunities for CJTF-HOA and interagency leaders to assess and align efforts, and develop synchronized courses of action that support common goals. (U.S. Navy photo by Mass Communication Specialist 1st Class Nick Scott)

U.S. Air Force Capt. Tyler Brin, director of protocol for Combined Joint Task Force-Horn of Africa (CJTF-HOA), addresses U.S. diplomats and joint service personnel at a meeting during the East Africa Security Forum (EASF) at Camp Lemonnier, Djibouti, Dec. 13, 2018. The EASF provides opportunities for CJTF-HOA and interagency leaders to assess and align efforts, and develop synchronized courses of action that support common goals. (U.S. Navy photo by Mass Communication Specialist 1st Class Nick Scott)

Amb. Peter Vrooman, U.S. Ambassador to Rwanda, takes notes during a meeting at the Combined Joint Task Force-Horn of Africa (CJTF-HOA) East Africa Security Forum (EASF) at Camp Lemonnier, Djibouti, Dec. 13, 2018. The EASF provides opportunities for CJTF-HOA and interagency leaders to assess and align efforts, and develop synchronized courses of action that support common goals. (U.S. Navy photo by Mass Communication Specialist 1st Class Nick Scott)

Amb. Donald Yamamoto, U.S. Ambassador to Somalia, addresses U.S. diplomats and joint service personnel at a meeting during the Combined Joint Task Force-Horn of Africa (CJTF-HOA) East Africa Security Forum (EASF) at Camp Lemonnier, Djibouti Dec. 13, 2018. The EASF provides opportunities for CJTF-HOA and interagency leaders to assess and align efforts, and develop synchronized courses of action that support common goals. (U.S. Navy photo by Mass Communication Specialist 1st Class Nick Scott)

U.S. Army Maj. Ivette Blanco-Padilla, dental officer in charge, 403rd Civil Affairs Battalion (CAB), Combined Joint Task Force-Horn of Africa, Djibouti, gives a medical book to a student during a ceremony at the Djibouti Nursing School, Dec. 10, 2018. More than 30 students completed a semester-long medical English discussion group, facilitated by the 403rd CAB, which serves as a language laboratory where students develop practical linguistic and rhetorical skills through relationship building and information exchange. (U.S. Air Force photo by Tech. Sgt. Shawn Nickel)

U.S. Army Lt. Col. Delnora Erickson, an oncologist assigned to the 403rd Civil Affairs Battalion (CAB), Combined Joint Task Force-Horn of Africa, Djibouti, presents a certificate of completion to a Djibouti Nursing School student during a ceremony at the Djibouti Nursing School, Dec. 10, 2018. More than 30 students completed a semester-long medical English discussion group, facilitated by the 403rd CAB, which serves as a language laboratory where students develop practical linguistic and rhetorical skills through relationship building and information exchange. (U.S. Air Force photo by Tech. Sgt. Shawn Nickel)

Djibouti Nursing School students, faculty and guests listen to opening remarks by Amb. Larry André Jr., U.S. Ambassador to Djibouti, during a certification ceremony held by the 403rd Civil Affairs Battalion (CAB), an Army Reserve unit assigned to Combined Joint Task Force-Horn of Africa, Djibouti, Dec. 10, 2018. More than 30 students completed a semester-long medical English discussion group, facilitated by the 403rd CAB, which serves as a language laboratory where students develop practical linguistic and rhetorical skills through relationship building and information exchange. (U.S. Air Force photo by Tech. Sgt. Shawn Nickel)

U.S. Navy Capt. Thomas S. Wall, chief of staff for Combined Joint Task Force -Horn of Africa post with his deputy, U.S. Air Force Lt. Col. Michael Mansfield and secretary, U.S. Army Capt. Shannon Hernandez before participating in the annual Grand Bara race. Nearly 200 members of CJTF-HOA ran alongside 2,500 Djiboutian, Chinese, and coalition service members and civilians during the 15k (9.3 mile) race across a stretch of Djibouti’s Grand Bara Desert, Dec. 13. (U.S. Army photo by Capt. Olivia Cobiskey)

Task Force Alamo, a U.S. Army Reserve unit from Texas, gathered before the race. Nearly 200 members of Combined Joint Task Force – Horn of Africa ran alongside 2,500 Djiboutian, Chinese, and coalition service members and civilians during the 15k (9.3 mile) race across a stretch of Djibouti’s Grand Bara Desert, Dec. 13. (U.S. Army photo by Capt. Olivia Cobiskey)

A runner approaches a kilometer marker during a 15-kilometer run through the Grand Bara Desert in Djibouti. Hosted by the French Foreign Legion, nearly 200 members of Combined Joint Task Force – Horn of Africa ran alongside 2,500 Djiboutian, Chinese, and coalition service members and civilians during the race across a stretch of Djibouti’s Grand Bara Desert, Dec. 13. (U.S. Army photo by Capt. Olivia Cobiskey)

Runners compete in the 36th annual Grand Bara 15K race in the Grand Bara Desert, Djibouti. Nearly 200 members of Combined Joint Task Force – Horn of Africa ran alongside 2,500 Djiboutian, Chinese, and coalition service members and civilians during the race across a stretch of Djibouti’s Grand Bara Desert, Dec. 13. (U.S. Army photo by Capt. Olivia Cobiskey)

Hosted by the French Armed Forces 5th Combined Overseas Marine Battalion the Grand Bara race honors the long history of the French relationship with Djibouti. Participants in the race follow a 15-kilometer line of rocks in the Grand Bara desert, which the Foreign Legion used to make its Soldiers paint as punishment. Nearly 200 members of Combined Joint Task Force – Horn of Africa ran alongside 2,500 Djiboutian, Chinese, and coalition service members and civilians during the 15k (9.3 mile) race across a stretch of Djibouti’s Grand Bara Desert, Dec. 13. (U.S. Army photo by Capt. Olivia Cobiskey)

A U.S. Soldier poses for a photo with an officer in the Chinese military after exchanging patches. Nearly 200 members of Combined Joint Task Force – Horn of Africa ran alongside 2,500 Djiboutian, Chinese, and coalition service members and civilians during the 15k (9.3 mile) race across a stretch of Djibouti’s Grand Bara Desert, Dec. 13. (U.S. Army photo by Capt. Olivia Cobiskey)

U.S. Navy Petty Officer 2nd Class Morgan Cushing (left), U.S. Navy Chief Petty Officer Michael Williams (middle) and U.S. Navy Petty Officer 1st Class Stephen Jacquet, Coastal Riverine Squadron 8, Combined Joint Task Force-Horn of Africa, Camp Lemonnier, Djibouti, watch a possible threat while conducting surveillance from a Rigid Hull Inflatable Boat during an armed security escort in the Gulf of Tadjourah, Dec. 7, 2018. Coastal Riverine Squadron 8 conducts force protection of strategic shipping and naval vessels operating in the inshore and coastal areas, anchorages and harbors, from bare beach to sophisticated port facilities. (U.S. Air Force photo by Tech. Sgt. Shawn Nickel)

U.S. Navy Sailors from Coastal Riverine Squadron (CRS) 8, Combined Joint Task Force-Horn of Africa, Camp Lemonnier, Djibouti, pilot Rigid Hull Inflatable Boats while en route to provide armed escort to the fleet replenishment oiler USNS Henry J. Kaiser (T-AO 187), in the Gulf of Tadjourah, Dec. 7, 2018. Coastal Riverine Squadron 8 is a hardware-equipped, intelligence, surveillance, reconnaissance embedded, deployable asset that provides centralized planning, control, coordination and integration of its boat and security platoons. (U.S. Air Force photo by Tech. Sgt. Shawn Nickel)

U.S. Navy Petty Officer 2nd Class Morgan Cushing (left), U.S. Navy Chief Petty Officer Michael Williams (middle) and U.S. Navy Petty Officer 1st Class Stephen Jacquet, Coastal Riverine Squadron 8, Combined Joint Task Force-Horn of Africa, Camp Lemonnier, Djibouti, watch a possible threat while conducting surveillance from a Rigid Hull Inflatable Boat during an armed security escort in the Gulf of Tadjourah, Dec. 7, 2018. Coastal Riverine Squadron 8 conducts force protection of strategic shipping and naval vessels operating in the inshore and coastal areas, anchorages and harbors, from bare beach to sophisticated port facilities. (U.S. Air Force photo by Tech. Sgt. Shawn Nickel)