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Regional Impact of US Navy Hospital Ship Comfort Deployment for Enduring Promise Initiative

The USNS Comfort (T-AH-20) plays a vital role in providing humanitarian assistance through the Enduring Promise Initiative. During its deployment on May 29, 2019, the ship delivered essential medical care across South America, addressing the healthcare needs of underserved populations in Ecuador, Peru, Colombia, and Honduras. With extensive facilities including operating rooms, intensive care beds, and dental care, Comfort successfully performed numerous surgeries and medical evaluations, improving quality of life and strengthening regional partnerships.

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Regional Impact of US Navy Hospital Ship Comfort Deployment for Enduring Promise Initiative

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  1. Regional Impact of U.S. Navy Hospital Ship Comfort (T-AH 20) Deployment in Support of Enduring Promise Initiative 29 May 2019 The overall classification of this brief is UNCLASSIFIED//FOUO

  2. USNS Comfort (T-AH 20) Flight deck & Casualty Receiving 12 Operating Rooms 20 Post Operative Acute Care beds 80 Intensive Care beds 900 Ward beds CT Scanner (4) X-ray rooms Laboratory Blood bank (up to 5000 units) Pharmacy Physical Therapy Dental clinic Optometry lens fabrication lab (2) Oxygen-producing plants (4) Distilling plants to make 300,000 gallons drinking water from sea water/day Length: 894 ft(273 m) Beam: 106 ft(32 m) Speed: 17.5 knots

  3. USNS Comfort Deployment History PLANNED MISSIONS EMERGENT RESPONSES 2010 – Earthquake Response - Haiti, 49 days, 871 outpatients, 843 surgeries 2017 – Hurricane Response - Puerto Rico, 53 days, 1,625 outpatients, 290 admissions and 191 surgeries

  4. Humanitarian Crisis Response International Organization for Migration Sept 2018

  5. Scheme of Maneuver (SOM) 5 In conjunction with Partner Nations, supply humanitarian assistance during a time of unprecedented movements of migrants in order to alleviate stress on HNs and continue to foster strong relationships in the region. (SOURCE: OPORD) 4 3 VZ 1m SOM 1. Esmeraldas, ECU 2. Paita, PER 3. Turbo, COL 4. Riohacha, COL 5. Trujillo, HND 1 200k 400k 2

  6. Force Composition ALL NGO DURING EP2018 Partner Nations

  7. Deliver First Rate Patient Care What was provided? • Summary of Medical Care • Esmeraldas, Ecuador • Paita, Peru • Turbo, Colombia • Riohacha, Colombia • Trujillo, Honduras • General Surgery • Ophthalmologic Surgery • Basic Medical Evaluation and Treatment • Preventive Medicine • Dental Screenings and Treatment • Optometry Screenings • Eyewear Distribution • Public Health Training Why? Relatively simple, speedy, huge quality of life impact “The gift of sight is a huge economic multiplier.” Captain Kevin Buckley, MTF CO, in Miami Herald 14,554 26,706 3203 Medical Patients Total Patients Dental Patients 8335 599 Optometry Total Surgeries $2.4 million Patients in medical donations Miami Herald, 29 Nov 18 Most common operations by numbers Providing the Right Procedures Met the Needs of the People and the Mission 7

  8. Surgery

  9. USNS Comfort Patients Four year old girl prepared for corrective eye-lid surgery 3 month old, former preemie transported for pediatric ophthalmology consult 80 year old man after cataract removal Eight year old boy receives cleft palette surgery

  10. Partnerships, Interoperability, Future Leaders • Implement whole of government approach by integrating collaborative efforts of local/national stakeholders to achieve unity of effort • Mission planners prior/during each stop work with State Department, country teams, local host governments, local/national police, ministries of health, partner nation militaries/coast guards, NGOs • Experience in inclusive, cooperative planning allows for future HADR efforts. e.g. Rapid creation of medical clinics on shore • Increase in medical interoperability with partner nation medical providers • Subject Matter Expert Exchange (SMEE) • Casualty drills • Daily lectures for translators Argentina Brazil Canada Colombia Costa Rica Chile Honduras Mexico Ecuador Peru U.S. U.K.

  11. Summary of Care Provided

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