U.S. Navy Medical Corpsman 3rd Class Justin Azucenas, Health Service Support Platoon, Combat Logistics Battalion 31, 31st Marine Expeditionary Unit, stitches the wound of a local man at Umiray Elementary School during a Medical Civil Assistance Project in support of Balikatan 2009 in Dingalan, Aurora province, Republic of the Philippines, April 20. Civil military humanitarian assistance activities enable Armed Forces of the Philippines and U.S. personnel to get to know each other, train together, and provide assistance in communities where the need is greatest, improving their ability to operate as one team on joint projects.