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HomeMediaSpecial CoverageContinuing Promise 2018

# Continuing Promise 2018

## Continuing Promise was a training mission to help strengthen regional partnerships while improving the lives of thousands of people in Honduras and Guatemala. From March – May 2018, U.S. military medical personnel were transported to each nation by USNS Spearhead (T-EPF 1) to work with host nation counterparts and aid workers to provide medical and dental care, preventive medicine, and veterinary consulting.

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## Recent Photos

Continuing Promise in Guatemala - PUERTO BARRIOS, Guatemala (April 17, 2018) Lt. Cmdr. Matthew Lee, of Phoenix, Arizona, performs an ultrasound for a pregnant Guatemalan woman in Puerto Barrios, Guatemala during Continuing Promise 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute Continuing Promise to conduct civil-military operations including humanitarian assistance, training engagements, and medical, dental, and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 2nd Class Kayla Cosby/ Released)

180418-N-VK873-0436 - 180418-N-VK873-0436 PUERTO BARRIOS, Guatemala (April 18, 2018) A Guatemalan child introduces himself to distinguished visitors at the Izabal Sports Complex medical site in Puerto Barrios, Guatemala during Continuing Promise 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute Continuing Promise to conduct civil-military operations including humanitarian assistance, training engagements, and medical, dental, and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 2nd Class Kayla Cosby/ Released)

180418-N-VK873-0546 - 180418-N-VK873-0546 PUERTO BARRIOS, Guatemala (April 18, 2018) Capt. Angel Cruz, Commodore of Destroyer Squadron (DESRON) 40, shows Guatemalan military personnel photos at the Expeditionary Medical Unit in Puerto Barrios, Guatemala during Continuing Promise 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute Continuing Promise to conduct civil-military operations including humanitarian assistance, training engagements, and medical, dental, and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 2nd Class Kayla Cosby/ Released)

180417-N-HB733-0246 - 180417-N-HB733-0246 PUERTO BARRIOS, Guatemala  (April 17, 2018) Pfc. Collin Hodkins of Myrtle Beach, South Carolina, gives a water buffalo deworming medicine at the Hacienda La Providencia Farm in Puerto Barrios, Guatemala during Continuing Promise 2018 . U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute Continuing Promise to conduct civil-military operations including humanitarian assistance, training engagements, and medical, dental, and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 2nd Brianna K. Green/ Released)

180417-N-HB733-0677 - 180417-N-HB733-0677 PUERTO BARRIOS, Guatemala (April 17, 2018) Pfc. Collin Hodkins of Myrtle Beach, South Carolina, gives a water buffalo deworming medicine at the Hacienda La Providencia Farm in Puerto Barrios, Guatemala during Continuing Promise 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute Continuing Promise to conduct civil-military operations including humanitarian assistance, training engagements, and medical, dental, and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 2nd Brianna K. Green/ Released)

180416-N-HB733-0062 - 180416-N-HB733-0062 PUERTO BARRIOS, Guatemala  (April 16, 2018) Lt. Cmdr. Jason Souza, of Bolton, Massachusetts, asks a Guatemalan girl to give a thumbs up during a post "trigger finger" surgery appointment at the Expeditionary Medical Unit during Continuing Promise 2018 in Puerto Barrios, Guatemala. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute Continuing Promise to conduct civil-military operations including humanitarian assistance, training engagements, and medical, dental, and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 2nd Brianna K. Green/ Released)

180418-N-HB733-0187 - 180418-N-HB733-0187 PUERTO BARRIOS, Guatemala (April 18, 2018) Lt. Cmdr. Clarence Tang, of Edmonton, Canada, performs a tooth extraction while volunteers and U.S. Navy Sailors observe at the Izabal Sports Complex medical site in Puerto Barrios, Guatemala, during Continuing Promise 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute Continuing Promise to conduct civil-military operations including humanitarian assistance, training engagements, and medical, dental, and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 2nd Brianna K. Green/ Released)

180418-N-VK873-0198 - 180418-N-VK873-0198 PUERTO BARRIOS, Guatemala (April 18, 2018) Distinguished visitors take a tour of the Hospital Infantil Elisa Martinez in Puerto Barrios, Guatemala during Continuing Promise 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute Continuing Promise to conduct civil-military operations including humanitarian assistance, training engagements, and medical, dental, and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 2nd Class Kayla Cosby/ Released)

180418-N-VK873-0341 - 180418-N-VK873-0341 PUERTO BARRIOS, Guatemala (April 18, 2018) Dean Tanner of Team Rubicon, examines a Guatemalan child at the Izabal Sports Complex medical site in Puerto Barrios, Guatemala during Continuing Promise 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute Continuing Promise to conduct civil-military operations including humanitarian assistance, training engagements, and medical, dental, and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 2nd Class Kayla Cosby/ Released)

180408-N-UP035-0178 - 180408-N-UP035-0178 PUERTO BARRIOS, Guatemala (April 08, 2018) Capt. Angel Cruz, Commodore of Destroyer Squadron (DESRON) 40, stands with Chaplain Michael Vitcavich; Base Commanding Officer, Capt. Navio Pineda; Vivian Cordon, Director of Public Health; and Col. M. Lopez at the opening ceremony of Continuing Promise 2018's Guatemala visit at the Comando Naval de Carribe Naval Base in Puerto Barrios, Guatemala. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute Continuing Promise to conduct civil-military operations including humanitarian assistance, training engagements, and medical, dental, and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 1st Class Mike DiMestico / Released)

180408-N-UP035-0226 - 180408-N-UP035-0226 PUERTO BARRIOS, Guatemala (April 08, 2018) Capt. Angel Cruz, Commodore of Destroyer Squadron (DESRON) 40, greets Guatemalan Navy officials at the opening ceremony of Continuing Promise 2018's Guatemala visit at the Comando Naval de Carribe Naval Base in Puerto Barrios, Guatemala. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute Continuing Promise to conduct civil-military operations including humanitarian assistance, training engagements, and medical, dental, and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 1st Class Mike DiMestico / Released)

180318-N-VK873-0197 - PUERTO BARRIOS, Guatemala (April 9, 2018) Hospital Corpsman 2nd Class Johnathan King, of Fort Washington, Maryland, shows a Guatemalan girl model teeth at the Izabal Sports Complex medical site in Puerto Barrios, Guatemala during Continuing Promise 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute Continuing Promise to conduct civil-military operations including humanitarian assistance, training engagements, and medical, dental, and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 2nd Class Kayla Cosby/ Released)

180318-N-VK873-0272 - PUERTO BARRIOS, Guatemala (April 9, 2018) Hospitalman Nicholas Bond, of Eerie, Pennsylvania, (l) assists Lt. Jannon Vanallen during a dental exam at the Izabal Sports Complex medical site in Puerto Barrios, Guatemala during Continuing Promise 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute Continuing Promise to conduct civil-military operations including humanitarian assistance, training engagements, and medical, dental, and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 2nd Class Kayla Cosby/ Released)

180406-N-VK873-0032 - PUERTO BARRIOS, Guatemala  (April 9, 2018) Hospitalman Patrick DeWilde of Anchorage, Alaska, checks a Guatemalan patient's vital signs at the Izabal Sports Complex medical site in Puerto Barrios, Guatemala during Continuing Promise 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute Continuing Promise to conduct civil-military operations including humanitarian assistance, training engagements, and medical, dental, and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 2nd Brianna K. Green/ Released)

180409-N-UP035-0136 - 180409-N-UP035-0136 PUERTO BARRIOS, Guatemala (April 09, 2018) Lt. Cmdr. Clarence Tang assesses a 4-year old Guatemalan boy for suitability for cleft palate surgery at the expeditionary medical unit in Puerto Barrios, Guatemala during Continuing Promise 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute Continuing Promise to conduct civil-military operations including humanitarian assistance, training engagements, and medical, dental, and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 1st Class Mike DiMestico / Released)

180410-N-UP035-0013 - 180410-N-UP035-0013 PUERTO BARRIOS, Guatemala (April 10, 2018) Lt. Cmdr. Lynn Skinner teaches a Basic Life Support class to Guatemalan medical personnel at the Hospital de Puerto Barrios in Puerto Barrios, Guatemala during Continuing Promise 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute Continuing Promise to conduct civil-military operations including humanitarian assistance, training engagements, and medical, dental, and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 1st Class Mike DiMestico / Released)

180410-N-UP035-0233 - PUERTO BARRIOS, Guatemala (April 10, 2018) Lt. Cmdr. Kat Rutan, Hospital Corpsman 3rd Class Mark Jimenez and Guatemalan medical professionals amputate a diabetic patient's leg at the Hospital de Puerto Barrios in Puerto Barrios, Guatemala during Continuing Promise 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute Continuing Promise to conduct civil-military operations including humanitarian assistance, training engagements, and medical, dental, and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 1st Class Mike DiMestico / Released)

180410-N-UP035-0272 - PUERTO BARRIOS, Guatemala (April 10, 2018) U.S. Navy and Guatemalan medical professionals amputate a diabetic patient's leg at the Hospital de Puerto Barrios in Puerto Barrios, Guatemala during Continuing Promise 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute Continuing Promise to conduct civil-military operations including humanitarian assistance, training engagements, and medical, dental, and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 1st Class Mike DiMestico / Released)

180317-N-UP035-0089 - PUERTO CORTES, Honduras (March 12, 2018) Lt. j.g. Grace Romasko of Killeen, Texas laughs with a 4-year old Honduran girl while she waits for her hernia surgery in the expeditionary medical unit in Puerto Cortes, Honduras during Continuing Promise 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute Continuing Promise to conduct civil-military operations including humanitarian assistance, training engagements, and medical, dental, and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 1st Class Mike DiMestico / Released)

180315-N-UP035-0194 - PUERTO CORTES, Honduras (March 15, 2018) Lt. Joe Guerin listens to a patient describe her ailments at the medical site in Puerto Cortes on the first day of treatment of Continuing Promise 2018's Honduras visit. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute CP-18 to conduct civil-military operations including humanitarian assistance, training engagements, and medical, dental, and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 1st Class Mike DiMestico / Released)

Continuing Promise 2018 - PUERTO CORTES, Honduras. (March 17, 2018) Lt. Cmdr. Amy Rogers, assigned to Navy Environmental and Preventative Medicine Unit TWO, shows a Honduran child mosquitos caught by a BG-Sentinel mosquito trap outside the Franklin D. Roosevelt School in Puerto Cortes, Honduras during Continuing Promise 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute Continuing Promise to conduct civil-military operations including humanitarian assistance, training engagements, and medical, dental, and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 2nd Class Brianna K. Green/ Released)

Continuing Promise 2018 - PUERTO CORTES, Honduras. (March 16, 2018) Lt. Marcus McDonough, assigned to Navy Environmental and Preventative Medicine Unit TWO, reviews mosquitos caught by a BG-Sentinel mosquito trap during Continuing Promise 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute Continuing Promise to conduct civil-military operations including humanitarian assistance, training engagements, and medical, dental, and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 2nd Class Brianna K. Green/ Released)

180316-N-UP035-0536 - 180316-N-UP035-0536 PUERTO CORTES, Honduras (March 16, 2018) Capt. Rob Ricca and Lt. Cmdr. Kathryn L. Rutan perform a hernia operation on a Honduran patient in the expeditionary medical unit in Puerto Cortes, Honduras during Continuing Promise 2018.  U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute Continuing Promise to conduct civil-military operations including humanitarian assistance, training engagements, and medical, dental, and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 1st Class Mike DiMestico / Released)

180316-N-UP035-0539 - 180316-N-UP035-0539 PUERTO CORTES, Honduras (March 16, 2018) Capt. Rob Ricca and Lt. Cmdr. Kathryn L. Rutan perform a hernia operation on a Honduran patient in the expeditionary medical unit in Puerto Cortes, Honduras during Continuing Promise 2018.  U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute Continuing Promise to conduct civil-military operations including humanitarian assistance, training engagements, and medical, dental, and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 1st Class Mike DiMestico / Released)

180316-N-UP035-0516 - 180316-N-UP035-0516 PUERTO CORTES, Honduras (March 16, 2018) Capt. Rob Ricca and Lt. Cmdr. Kathryn L. Rutan perform a hernia operation on a Honduran patient in the expeditionary medical unit in Puerto Cortes, Honduras during Continuing Promise 2018.  U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute Continuing Promise to conduct civil-military operations including humanitarian assistance, training engagements, and medical, dental, and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 1st Class Mike DiMestico / Released)

180316-N-HB733-0069 - 180316-N-HB733-0069 PUERTO CORTES, Honduras. (March 16, 2018) Sailors organize medical prescriptions into individual bags at the Franklin D. Roosevelt School in Puerto Cortes, Honduras during Continuing Promise 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute Continuing Promise to conduct civil-military operations including humanitarian assistance, training engagements, and medical, dental, and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Lt. Cmdr Jason Souza/ Released)

180316-N-HB733-0091 - 180316-N-HB733-0091 PUERTO CORTES, Honduras. (March 16, 2018) A Blessings International volunteer disperses medical prescriptions to a Honduran patient at the Franklin D. Roosevelt School in Puerto Cortes, Honduras during Continuing Promise 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute Continuing Promise to conduct civil-military operations including humanitarian assistance, training engagements, and medical, dental, and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Lt. Cmdr Jason Souza/ Released)

180315-N-VK873-0153 - 180316-N-VK873-0153 SAN PEDRO SULA, Honduras (March 16, 2018) Lt. Cmdr. Conor Garry views a patient's X-rays at the Dr. Mario Catarino Rivas North-Western National Hospital in San Pedro Sula, Honduras during Continuing Promise 2018.  U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute Continuing Promise to conduct civil-military operations including humanitarian assistance, training engagements, and medical, dental, and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 2nd Class Kayla Cosby/Released)

180316-N-HB733-0054 - 180316-N-HB733-0054 PUERTO CORTES, Honduras. (March 16, 2018) Hospital Corpsman 1st Class Ignacio Garciavega takes a sample of blood from a Honduran patient at the Franklin D. Roosevelt School during Continuing Promise 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute Continuing Promise to conduct civil-military operations including humanitarian assistance, training engagements, and medical, dental, and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Lt. Cmdr Jason Souza/ Released)

180315-N-VK873-0111 - PUERTO CORTES, Honduras (March 15, 2018) Citizens of Puerto Cortes, Honduras wait in line to be seen by medical personnel at the Franklin D. Roosevelt School during Continuing Promise 2018. U.S. Naval Forces Southern Command/U.S. 4th Fleet has deployed a force to execute Continuing Promise to conduct civil-military operations including humanitarian assistance, training engagements, and medical, dental, and veterinary support in an effort to show U.S. support and commitment to Central and South America. (U.S. Navy photo by Mass Communication Specialist 2nd Class Kayla Cosby/Released)

LATEST IMAGERY FROM CONTINUING PROMISE 2018

## Recent Continuing Promise Articles

Continuing Promise 2018 humanitarian mission completed in Guatemala

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Continuing Promise 2018 Arrives in Guatemala

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Continuing Promise 2018 Completes Mission Stop in Honduras 

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 Preventive Medicine, Saving Lives

## Overview

Continuing Promise is a U.S. Southern Command training mission introduced in 2007. During the 2018 mission, Continuing Promise personnel provided medical, environmental health, veterinary, and humanitarian assistance activities in select countries to strengthen partnerships and improve cooperation on many levels with partner nations, interagency organizations, and nongovernmental organizations.

Building on relationships created in previous years, participants worked together to increase the medical capacities of countries and communities, making each visit an exchange of information and chance to strengthen partnerships.

The purpose of Continuing Promise is to conduct civil-military operations including humanitarian civil assistance, medical, dental, veterinary, and disaster response with partner nations and to show U.S. support and commitment to Central America, South America and the Caribbean.

Capt. Angel Cruz, Commander, Destroyer Squadron 40, was designated Commander, Task Force 48 for the Continuing Promise mission. Capt. Judy Schauer was the medical site officer in charge. The ship’s civil service master, Capt. Douglas Casavant was responsible for the ship’s safe and timely navigation and day-to-day operations.

## About USNS Spearhead

USNS Spearhead is a U.S. Navy ship expeditionary fast transport ship operated by Military Sealift Command. This is the second time USNS Spearhead has participated in Continuing Promise.

## Medical | Dental | Veterinary Services Provided

The medical, dental, veterinary and civic action programs were designed to assist each participating host nation in providing local communities with a wide range of health services. The primary focus was treatment ashore. Patients did not receive medical care aboard the ship. Medical, veterinary and dental teams went ashore at each location to provide a variety of medical, veterinary and dental services, including:
                        - Basic medical evaluation and treatment 
                        - Preventive medicine treatment
                        - Dental screenings and treatment
                        - Optometry screenings & eyewear distribution
                        - Women’s health services 
                        - Veterinary services
                        - Public health training (plus additional specialties as applicable)

Specific plans for each mission stop were created using information gathered during pre-deployment site surveys in which U.S. and partner nation planners collaborate with local professionals to define the needs of their communities. Participants shared best practices with the host nation partners, and worked with local doctors, nurses, and dentists when providing care and specialist training engagements and activities.

## Background

This was the ninth Continuing Promise deployment to the region since 2007. 

Continuing Promise started with the deployment of USNS Comfort (T-AH 20) in 2007. CP-18 will build on the strong relationships developed during the CP-07, CP-08 Pacific and Caribbean phases (USS Boxer and USS Kearsarge), CP-09 (Comfort),  CP-10 (USS Iwo Jima), CP-11 (Comfort), CP-15 (Comfort), and CP-17 (USNS Spearhead (T-EPF 1)) deployments to countries in Central and South America and the Caribbean. 

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