Armed Forces of the Philippines 1st Lt. Joseph Agbayani,

Armed Forces of the Philippines 1st Lt. Joseph Agbayani, left, Nurse Corps and first responder training course facilitator, and U.S. Army Staff Sgt. Bryan Garret, right, Alpha Company, Civil Affairs Battalion medic and Cooperative Health Engagement instructor, observe local health workers as they respond to a simulated mass casualty scenario during exercise Balikatan’s first responder training course in Puerto Princesa, Palawan, Philippines, April 22. U.S. military and AFP training instructors worked shoulder-to-shoulder to train 179 health workers and members of other local agencies to learn skills and techniques to better respond to a mass casualty. This year marks the 31st iteration of the exercise, which is an annual Philippine-U.S. bilateral military training exercise and humanitarian civic assistance engagement. (U.S. Air Force photo by Staff Sgt. Christopher Hubenthal/Released)