U.S. Army Sgt. Jason Nisperos, Joint Task Force-Bravo Medical Element Preventive Medicine, provides a health class with assistance from a local nurse during a medical exercise at Waspam, North Caribbean Autonomous Region of Nicaragua, March 20, 2018. The preventive health class is given to citizens prior to receiving basic health care services from a team of U.S. and Nicaraguan army medics. (U.S. photo illustration by Maria Pinel)