U.S. Public Health Service Lt. Cmdr. Gary Brunette, embarked aboard the amphibious assault ship USS Kearsarge, hands out toothbrushes to children in Betania during a Continuing Promise 2008 medical humanitarian project. Kearsarge is deployed supporting the Caribbean phase of Continuing Promise 2008, an equal-partnership mission involving the United States, Canada, the Netherlands, Brazil, Nicaragua, Panama, Colombia, Dominican Republic, Trinidad and Tobago and Guyana.