Tanzanian sailors practice their medical skills during a Tactical Casualty Combat Care class in part of exercise Cutlass Express 2012-2 (CE12) on Nov. 2, 2012 in Dar Es Salaam, Tanzania. CE 12 is a U.S. Africa Command (AFRICOM) sponsored exercise focusing on addressing common maritime issues through information sharing and coordinated operations among East African navies. (U.S. Air Force photo by Technical Sgt. Dan St. Pierre/Released)