NAVAL MEDICAL CENTER PORTSMOUTH RECEIVES NATIONAL RECOGNITION FOR MERITORIOUS OUTCOMES FROM THE AMERICAN COLLEGE OF SURGEONS

Source: United States Navy (Medical)

PORTSMOUTH, Va. (Nov. 21, 2024) The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP®) has recognized Naval Medical Center Portsmouth (NMCP) as one of 77 ACS NSQIP participating hospitals that have achieved meritorious outcomes for surgical patient care in 2023. As a participant in ACS NSQIP, NMCP is required to track the outcomes of inpatient and outpatient surgical procedures and collect data that assesses patient safety and can be used to direct improvement in the quality of surgical care.

“We commend all ACS NSQIP-participating hospitals because they have committed to using high-quality data to improve the surgical care of their patients. NMCP has gone a step further — not only do they use the data effectively, but they also have the results to prove they are achieving optimal patient outcomes,” said Clifford Y. Ko, MD, MS, MSHS, FACS, FASCRS, Director of the ACS Division of Research and Optimal Patient Care.

The ACS NSQIP recognition program commends a select group of hospitals for achieving a meritorious composite score in either an “All Cases” category or a category which includes higher risk cases (“High Risk”). Risk-adjusted data from the July 2024 ACS NSQIP Semiannual Report, which presents data from the 2023 calendar year, were used to determine which hospitals demonstrated meritorious outcomes. NMCP has been recognized on both the “All Cases” and “High Risk” Meritorious lists.

Each composite score was determined through a different weighted formula combining eight outcomes. The outcome performances related to patient management were in the following eight clinical areas: mortality, unplanned intubation, ventilator > 48 hours, renal failure, cardiac incidents (cardiac arrest and myocardial infarction); respiratory (pneumonia); SSI (surgical site infections-superficial and deep incisional and organ-space SSIs); or urinary tract infection.

The 77 hospitals achieved the distinction based on an outstanding composite quality score. Risk-adjusted data from the July 2024 ACS NSQIP Semiannual Report, which presents data from the 2023 calendar year, were used to determine which hospitals demonstrated meritorious outcomes. 60 hospitals were recognized on the “All Cases” list and 60 hospitals were recognized on the “High Risk” list; the 60 hospitals represent approximately ten percent of the 609 ACS NSQIP eligible hospitals. 43 hospitals are recognized on both the “All Cases” and “High Risk” lists, 17 other hospitals are on just the “All Cases” list, and 17 other hospitals are on the “High Risk” list only, totaling 77 hospitals being recognized as Meritorious.

ACS NSQIP is the preeminent nationally validated quality improvement program that measures and enhances the care of surgical patients. This program measures the actual surgical results 30 days postoperatively as well as risk adjusts patient characteristics to compensate for differences among patient populations and acuity levels. The goal of ACS NSQIP is to reduce surgical morbidity (infection or illness related to a surgical procedure) and surgical mortality (death related to a surgical procedure) and to provide a firm foundation for surgeons to apply what is known as the “best scientific evidence” to the practice of surgery. Furthermore, when adverse effects from surgical procedures are reduced and/or eliminated, a reduction in healthcare costs follows. ACS NSQIP is a major program of the ACS and is currently used in over 850 adult or pediatric hospitals. Hospitals participating in ACS NSQIP are designated as ACS Surgical Quality Partners. To find ACS Surgical Quality Partner hospitals, please visit www.powerofquality.com.

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About the American College of Surgeons
The American College of Surgeons is a scientific and educational organization of surgeons that was founded in 1913 to raise the standards of surgical practice and improve the quality of care for all surgical patients. The College is dedicated to the ethical and competent practice of surgery. Its achievements have significantly influenced the course of scientific surgery in America and have established it as an important advocate for all surgical patients. The College has approximately 90,000 members and is the largest organization of surgeons in the world. “FACS” designates that a surgeon is a Fellow of the American College of Surgeons. For more information, visit www.facs.org.#

NMCSD Chaplain Earns National Board Certification

Source: United States Navy (Medical)

Lt. Cmdr. Aaron Walling, Assistant Department Head for Pastoral Care Services at Naval Medical Center San Diego (NMCSD), has earned National Board Certification from the National Association of VA Chaplains, a significant professional achievement in the field of spiritual care, Dec. 2.

The certification recognizes Walling’s expertise and dedication to providing comprehensive spiritual support to service members, veterans, and their families. As a board-certified chaplain, Walling joins an elite group of professionals who meet rigorous standards in pastoral care, ethics, and leadership.

“Chaplain Walling’s achievement underscores the critical role of spiritual care in the holistic well-being of our military community,” said Capt. Elizabeth Adriano, Director of NMCSD. “His commitment to serving others is a testament to the compassion and resilience that defines our team.”

Reflecting on the certification, Walling emphasized the importance of the role chaplains play in military healthcare.

“It’s an honor to serve the men and women who wear our Nation’s cloth,” Walling said. “Earning this certification reaffirms my commitment to providing compassionate care and spiritual guidance to those navigating life’s challenges.”

Walling, a native from Houston, Texas, worked as a church pastor for 19 years before commissioning later in life as a Navy chaplain. Grateful for the opportunity to provide spiritual support to the sea services, he has served and deployed with USS Somerset (LPD 25) and with 2nd Battalion, 4th Marine Regiment.

Walling’s certification enhances NMCSD’s ability to address the spiritual needs of its diverse patient population and staff, further aligning with the center’s mission to deliver world-class care to those who serve, their families, and veterans.

The mission of NMCSD is to prepare service members to deploy in support of operational forces, deliver high-quality health care services, and shape the future of military medicine through education, training, and research. NMCSD employs more than 5,000 active-duty military personnel, civilians, and contractors in southern California to provide patients with world-class care. Anchored in Excellence, Committed to Health!

U.S. Navy SEALs, Indian Marine Commando Force, and Japan Maritime Self-Defense Force Train During Exercise Malabar 2024

Source: United States INDO PACIFIC COMMAND

U.S. Naval Special Warfare (NSW), Japan Maritime Self-Defense Force, and Indian Navy Marine Commandos (MARCOS) completed a military-to-military engagement training during the special operations phase of MALABAR 24 on Oct. 14, 2024.

The engagement reinforced and expanded combined special operations forces interoperability with partner nation militaries in support of a Free and Open Indo-Pacific.

“We value the opportunity to train with our counterparts from India and Japan,” said an NSW operator. “It’s the continued collaboration like this that sharpens our tactics and strengthens our bond with our partners in the region.”

The training encompassed a variety of critical skills, including iterations on beach insertion, maritime interdiction, close-quarters combat, and tactical casualty care. Participants engaged in realistic scenarios culminating in a comprehensive capstone exercise featuring maritime interdiction operations and rehearsals for visit, board, search, and seizure techniques.

“After sharing procedures and establishing standards, our combined forces developed realistic special operations scenarios,” said another NSW operator. “This training improved our readiness and interoperability, preparing us to effectively plan and carry out modern missions.”

High-quality, realistic training is essential to maintaining and demonstrating the United States’ commitment to a Free and Open Indo-Pacific. Our partners in the Japan Self-Defense Forces and Indian Navy Marine Commandos are incredibly capable allies, and we continue to train and exercise together to improve interoperability and strengthen our capabilities.

NSW is the nation’s elite maritime special operations force, uniquely positioned to extend the Fleet’s reach. Additionally, U.S. Special Operations Forces provide flexible responses to contingencies in the Indo-Pacific. Integral to this capability is a forward-deployed posture and continuous engagement with partner and ally forces, heightening mutual interoperability and regional expertise.

Malabar 24 is a combined field training exercise with the Royal Australian Navy, Indian Navy, Japan Maritime Self-Defense Force and U.S. Navy participants. The exercise is designed to support achievement of strategic objectives by strengthening partnerships in the Indo-Pacific and promoting interoperability in the conduct of complex warfighting operations.

Idaho National Guard Trains with US, Indian Special Forces

Source: United States INDO PACIFIC COMMAND

The U.S. Army’s 1st Special Forces Group (Airborne), along with partners from the Indian Army’s Special Operations Forces and the Idaho National Guard’s 124th Air Support Operations Squadron, participated in Exercise Vajra Prahar Nov. 2-22.

The exercise on Orchard Combat Training Center ranges and facilities enhanced relationships between the elite units, focusing on realistic training scenarios that challenge participants in complex environments.

The 124th ASOS provided the Indian soldiers with joint terminal attack controller and close air support instruction to enhance interoperability between Indian and U.S. special operations forces.

“We helped build stronger relationships with the partner force by demonstrating the tactical air control party’s commitment to their success and providing them with valuable training and resources,” said Master Sgt. Douglas K. Brock, a JTAC with 124th ASOS. “In the end, the 124th ASOS showcased their ability to work with anyone, anywhere, at any time to achieve mission success by maintaining a high level of readiness while also building a foundation for future training and development opportunities.”

Vajra Prahar is an annual exercise, now in its 15th year, and changes locations annually between U.S. and Indian training facilities to improve the special operators’ ability to work together in a variety of terrain and climate conditions. It was the first time the exercise was in Idaho.

“The airspace and training facilities have been awesome at the OCTC,” said a member of 1st SFG(A). “They’ve given us the ability to run CH-47 Chinook missions, live talk on JTAC training, conduct sniper training and make direct-action assaults on multiple urban objectives.”

The realistic training environment and integration of skills from participating units fostered tactical improvements and stronger relationships among the partner-nation forces, according to the 1sgt SFG(A) Soldier.

“By engaging in this rigorous training, participants develop their skills, improve communication and foster a spirit of collaboration that is essential for successful operations in real-world situations,” he said. “Working alongside our partners across the Indo-Pacific region increases security capacity and interoperability among our forces.”

The OCTC is a 173,000-acre joint combined arms training site 18 miles south of Boise. It provides world-class training facilities for warfighters from all U.S. armed forces and partner nations.

U.S. Coast Guard supports FSM Joint Committee Meeting to deepen partnerships and enhance maritime security

Source: United States INDO PACIFIC COMMAND

The U.S. Coast Guard reaffirmed its commitment to maritime safety, security, and stewardship during the recent Federated States of Micronesia (FSM) Joint Committee Meeting (JCM), held in Chuuk from Nov. 13 to 16, 2024.

The event brought together FSM leaders, U.S. government officials, and regional stakeholders to address shared priorities under the Compact of Free Association (COFA).

Capt. Jessica Worst, commander of U.S. Coast Guard Forces Micronesia/Sector Guam, underscored the importance of collaboration between the United States and FSM, “The JCM is vital to maintaining our shared commitment to maritime safety, security, stewardship, and prosperity. These engagements allow us to address challenges together and build pathways for a stronger, safer maritime domain.”

During the JCM, Lt. Cmdr. Derek Wallin and Lt. Anna-Maria Vaccaro presented a comprehensive update on U.S. Coast Guard activities in the FSM since May 2024. The presentation highlighted efforts across maritime safety, security, and stewardship, showcasing progress in areas such as fisheries enforcement and capacity building.

FSM Maritime Wing commander highlighted the ongoing efforts and challenges his team encounters in patrolling the nation’s expansive exclusive economic zone (EEZ), which spans over one million square miles. The Maritime Wing aims to increase their patrol days in the coming year to further enhance efforts against illegal, unreported, and unregulated fishing (IUU-F) and other maritime threats, which also provides more opportunities for combined operations.

Wallin reiterated the U.S. Coast Guard’s dedication to addressing resource gaps. “We’re committed to strengthening maritime domain awareness, working with partners to enhance bilateral maritime law enforcement (MLE) agreements, and provide essential tools and training to the extent possible to help FSM protect its EEZ from illegal activities,” he said.

Looking ahead, the U.S. Coast Guard and FSM partners outlined several priorities for future collaboration. These include formalizing requests for aids to navigation (ATON) support in Kosrae and increasing shiprider operations, under the bilateral MLE agreement, to improve fisheries enforcement and SAR capabilities. Additionally, discussions focused on FSM’s interest in acquiring new patrol assets and integrating advanced technologies such as thermal imaging and weatherproof drones to enhance maritime response.

The U.S. delegation also participated in community-building events, including a camaraderie boat tour and barbecue hosted by the FSM delegation in Chuuk Lagoon. “These moments of connection underscore the strong bonds between our teams and our shared commitment to advancing maritime resilience,” said Capt. Worst.

The JCM concluded with a continued shared vision for the future, emphasizing the importance of partnership in addressing environmental concerns, enhancing enforcement capabilities, and strengthening the region’s maritime domain. The next JCM is tentatively scheduled for mid-2025 in Guam, where stakeholders will evaluate progress and refine their collective goals.

-USCG-

About the Compact of Free Association (COFA)

The COFA is a mutually beneficial agreement promoting cooperation and security in the Pacific. It provides unique provisions for defense, economic assistance, and access between the U.S. and the Freely Associated States, including the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau.

About U.S. Coast Guard Forces Micronesia/Sector Guam

U.S. Coast Guard Forces Micronesia/Sector Guam supports the Coast Guard’s missions of ensuring maritime safety, security, and stewardship in the Pacific. Through search and rescue, law enforcement, and partnership-building efforts, the FM/SG team enhances the peace, stability, and prosperity of the Pacific.

I Am Navy Medicine; Hospital Corpsman Second Class Peyton Cummins

Source: United States Navy (Medical)

A Corpsman serving aboard Naval Health Clinic Cherry Point is about to take the biggest step of his career and become a Navy officer.

Hospital Corpsman Second Class Peyton Cummings will leave the clinic to attend Officer Candidate School at Naval Station Newport, Rhode Island, in early 2025.

“Being a Naval Officer has always been a dream of mine and OCS offers me the opportunity to obtain this goal while continuing my active-duty status,” said Cummins. “It is important to have a goal especially in the military since it is easy to fall into the monotony of day-to-day operations, having a goal will keep you constantly working towards the next level of your career.”

The Raleigh, North Carolina native currently serves as the Leading Petty Officer for Naval Health Clinic Cherry Point’s Directorate of Public Health Services. His daily duties and responsibilities include oversight of the facility’s Immunizations, Preventative Medicine, Industrial Hygiene and Occupational Medicine departments.

“Cherry Point offers a rare opportunity for junior Sailors to fill leadership positions typically held by more senior Petty Officers,” he said.
Navy Officer Candidate School is a thirteen-week course designed to prepare Sailors for service as Naval Officers. Coursework includes academic and physical training designed to instill qualities essential to a Sailor’s success as an officer.

“To prepare for the selection process I made sure to take leadership opportunities when presented. Also, I made myself comfortable with public speaking through PI [process improvement] presentations which helped me tremendously with the officer interviews,” said Cummins.

After graduating from OCS, Cummins wants to start his career as a Surface Warfare Officer but remains open to all opportunities available to him.

“My biggest piece of advice for sailors wanting to go to OCS is to start the application early. It is a lengthy document that requires a large investment of time and networking,” said Cummins.

CENTCOM Forces Defeat Houthi Attacks on U.S. Navy and U.S.-Flagged Ships in Gulf of Aden

Source: United States Central Command (CENTCOM)

Dec. 1, 2024
Release Number 20241201-01
FOR IMMEDIATE RELEASE

TAMPA, Fla – U.S. Navy destroyers USS Stockdale (DDG 106) and the USS O’Kane (DDG 77) successfully defeated a range of Houthi-launched weapons while transiting the Gulf of Aden, Nov. 30 – Dec. 1.  The destroyers were escorting three U.S. owned, operated, flagged merchant vessels and the reckless attacks resulted in no injuries and no damage to any vessels, civilian or U.S. Naval.

The destroyers successfully engaged and defeated three anti-ship ballistic missiles (ASBMs), three one-way attack uncrewed aerial systems (OWA UAS), and one anti-ship cruise missile (ASCM), ensuring the safety of the ships and their personnel, as well as civilian vessels and their crews.

These actions reflect the ongoing commitment of CENTCOM forces to protect U.S. personnel, regional partners, and international shipping, against attacks by Iran-backed Houthis.

Loko Iʻa Pāʻaiau Fishpond Inspires Story of Healing and Peace

Source: United States INDO PACIFIC COMMAND

Loko Iʻa Pāʻaiau, the ancient fishpond next to McGrew Point Navy housing that is being restored, was the inspiration for Hoʻoponopono is Harmony, a children’s book written by Thao “Kale‘a ” Le, PhD, MPH in collaboration with Bruce Keaulani, founder and CEO of Living Life Source Foundation.

The story is about a boy who helps restore a 400-year-old fishpond and, in the process, finds healing and harmony within himself. Although written to teach children about the practice of aloha and mindfulness, adults can also learn meaningful lessons about healing and forgiveness.

The central theme of the book is hoʻoponopono, which has many meanings including, “to make amends, forgiveness, to make right, to rectify, to begin anew,” explained Le, a professor in the Human Development and Family Studies program in the Family Consumer Sciences Department at the University of Hawaiʻi at Mānoa.

“You first need to do ho’oponopono within yourself, so this act of letting go of everything that you carry throughout your life, you need to let it go before you can have harmony, which is why we say hoʻoponopono is harmony,” Le added, citing the tenets of Keaulani, fondly known as Uncle Bruce, and Morrnah Nalamaku Simeona, who was recognized as a kahuna lāʻau lapaʻau (healer) and Living Treasure of Hawaiʻi. Uncle Bruce trained under Simeona, known by many as Aunty Morrnah.

Aunty Morrnah developed a modern version of the practice of hoʻponopono, a method for individual problem solving.

“Hoʻoponopono is the practice of making everything into alignment: human, land, divinity. It’s the belief that in the Hawaiian view when you have disharmony, it’s because those are not in alignment, so there are many ways of practicing,” said Kehaulani Lum, fondly known as Aunty Kehau, who studies Hawaiian spiritual practice under Uncle Bruce and is actively involved as a steward of Loko Iʻa Pāʻaiau. “In Aunty Morrnah’s case, essentially, her practice is one of the individual asking Divinity to cleanse and bring everything back to peace.”

Aunty Kehau, who is also president of the Aliʻi Pauʻahi Hawaiian Civic Club, explained the significance of the fishpond as the setting for the book.

“What’s special about this one is that it was the home and pond of the highest sovereign of Oʻahu who governed for over 60 years from this place in peace and there was no war,” said Aunty Kehau. “That sovereign is Mōʻī Wahine Kalanimanuʻia, who built two other royal fishponds and ruled with aloha, benevolence, and abundance.”

Uncle Bruce explained that growing up, he studied Hawaiian culture daily and that the fishpond is an excellent place to restore cultural practices like hoʻoponopono. He said when visitors come to the fishpond, they experience something unique.

“When they come here, the spirit flows through them to bring that memory back of culture,” he said.

Aunty Kehau described how hoʻoponopono and other Hawaiian practices were part of the fishpond restoration and preservation plan developed in partnership with the Navy in 2014. The plan also stated that Loko Iʻa Pāʻaiau would be an active cultural site instead of something akin to a museum.

“We actually find that in the healing of the land, we heal ourselves and when you do that, what you’re giving to the land is so much aloha,” she said.

On Nov. 18, 2023, the Navy along with leaders from Living Life Source Foundation, Ali‘i Pauahi Hawaiian Civic Club, Nā Lima No‘eau and affiliated native Hawaiian organizations signed a memorandum of understanding (MOU) to solidify and continue efforts to preserve, restore, and maintain Loko Iʻa Pāʻaiau. The MOU has no end date which means the partnership will provide lasting benefits to the community.

Two thousand copies of Hoʻoponopono is Harmony have been distributed across the state by the Hawaiʻi Department of Health and Human Services. The book is Le’s fourth and like the other three, was influenced by ALOHA, also known as the “Aloha Spirit Law,” HRS §5-7.5.

This law was written by Aunty Pilahi Paki, a native Hawaiian Native Hawaiian poet and philosopher who wrote about the importance of aligning the mind and heart in each person. She emphasized five major values of aloha: akahai meaning kindness, lōkahi meaning unity, ‘oluʻolu meaning agreeableness, haʻahaʻa meaning humility, and ahonui meaning patience. The symbolic Hawaiʻi state law, established in 1986, requires that all people in Hawaiʻi show consideration and kindness.

Le is optimistic about the future of the fishpond and believes that individuals can overcome their personal struggles by following the wisdom of Hawaiian values.

Aunty Kehau expressed her gratitude for the book as well as the Navy’s ongoing partnership, which honors the legacy of Kalanimanuʻia through the restoration of the fishpond and provides a place where all are welcome to learn about Hawaiian culture.

“I only know that through this work that the Navy started, her name is being lifted,” said Aunty Kehau. “Her story is being told. She was almost lost to history because there is so little known about her. She ruled when we didn’t have good records. Two hundred more years before we’d be writing pen to paper, so stories were transferred orally … but you can come here, learn, and help create new stories.”

MG Jasper Jeffers arrives in Beirut to Serve as Co-Chair for the Implementation and Monitoring Mechanism of the Cessation of Hostilities

Source: United States Central Command (CENTCOM)

Nov. 29, 2024
Release Number 20241129 – 01
FOR IMMEDIATE RELEASE

TAMPA, Fla. – Major General Jasper Jeffers, Special Operations Command Central (SOCCENT), arrived in Beirut on Nov. 27 and will serve as a co-chair, alongside Senior Advisor to the President, Amos Hochstein, for the implementation and monitoring mechanism of the cessation of hostilities between Israel and Lebanon.

The cessation of hostilities implementation and monitoring mechanism will be chaired by the United States and consist of the Lebanese Armed Forces (LAF), Israel Defense Forces (IDF), the United Nations Interim Forces in Lebanon (UNIFIL) and France.

Amos Hochstein will serve as the civilian co-chair until a permanent civilian official is named.

This group will assist in the monitoring and implementation of the cessation of hostilities between Israel and Lebanon that went into effect on Nov. 26.

USS Michael Murphy, USS Spruance and USS Frank E. Petersen Jr. Conduct Port Visits in Thailand and Singapore

Source: United States INDO PACIFIC COMMAND

Arleigh Burke-class guided-missile destroyers USS Michael Murphy (DDG 112) and USS Spruance (DDG 111) conducted a port visit in Phuket, Thailand, Nov. 22-26, and USS Frank E. Petersen Jr. (DDG 121) in Sembawang, Singapore, Nov. 23-27.

These port visits highlight the strong relationships the United States has with Thailand and Singapore. In addition to fostering camaraderie and cooperation between nations, Sailors were afforded the opportunity to experience the stunning beaches, rich cultures, and immerse themselves in the vibrant local life during their stay.

“The officers and crew of USS Frank E. Petersen Jr. are honored for the opportunity to visit Singapore. Engagements such as these strengthen the bonds between both nations and our mutual goals of promoting a free and open Indo-Pacific,” said Capt. Kevin Louis, commanding officer, USS Frank E. Petersen Jr. “This port visit demonstrates the U.S. commitment to regional partnerships, helps foster growing relationships, and offers Sailors the opportunity to relax and enjoy Singapore’s tremendous culture, cuisine and attractions.”

While in port, Sailors also contributed by participating in community relations projects. Frank E. Petersen Jr. Sailors volunteered for the ‘Child at Street 11’ program, which educates and helps young children, and Michael Murphy and Spruance Sailors volunteered at the Soi Dog Foundation, a prominent animal rescue shelter.

“The crew of the USS Michael Murphy would like to extend our warmest regards to the country of Thailand for hosting us during our recent port visit. We also had the chance to volunteer with a local organization, give a tour of our ship, and share the story of our namesake, LT Michael Murphy,” said Cmdr. Jonathan B. Greenwald, commanding officer, USS Michael Murphy. “We look forward to continuing to grow the bond between our two nations in the years to come.”

These opportunities to connect are essential for strengthening the partnerships between the United States, Thailand and Singapore nations.

“This port visit was definitely a morale boost and opportunity for our Sailors,” said Cmdr. Thomas “Matt” Adams, commanding officer, USS Spruance. “We are thankful to our Thai hosts for allowing the opportunity to participate in local community volunteer events, explore the beautiful country of Thailand and get some well-deserved rest and recovery before we return out to sea.”

Following their respective port visits, the three destroyers will continue their deployment in the 7th Fleet area of operations.

The Abraham Lincoln Carrier Strike Group consists of USS Abraham Lincoln (CVN 72), embarked staffs of Carrier Strike Group (CSG) Three and Destroyer Squadron (DESRON) 21, Carrier Air Wing (CVW) Nine, integrated air and missile defense Arleigh Burke-class guided missile destroyer USS Frank E. Petersen Jr. (DDG 121), and Destroyer Squadron 21’s USS Spruance (DDG 111) and USS Michael Murphy (DDG 112).

The Abraham Lincoln Carrier Strike Group is underway conducting routine operations in the U.S. 7th Fleet area of operations. U.S. 7th Fleet is the U.S. Navy’s largest forward-deployed numbered fleet, and routinely interacts and operates with allies and partners in preserving a free and open Indo-Pacific region.

For more news from CSG-3, http://www.dvidshub.net/unit/USSAL-CVN72#