Keywords: US Navy 080813-N-4515N-150 Rear. Adm. Joseph Kernan, commander of the U.S. 4th Fleet, speaks to a doctor from Hospital Nuevo Amanecer Enfermera Nancy Bach, a local hospital in Puerto Cabezas.jpg en PUERTO CABEZAS Nicaragua Aug 13 2008 Rear Adm Joseph Kernan commander of the U S 4th Fleet speaks to a doctor from Hospital Nuevo Amanecer Enfermera Nancy Bach a local hospital in Puerto Cabezas after presenting medical equipment donated by Project Hand Clasp during a humanitarian assistance project The amphibious assault ship USS Kearsarge LHD 3 is the primary platform supporting the Caribbean phase of Continuing Promise an equal-partnership mission involving the United States Canada the Netherlands Brazil Nicaragua Panama Colombia Dominican Republic Trinidad and Tobago and Guyana U S Navy photo by Mass Communication Specialist Seaman Apprentice Joshua Adam Nuzzo Released 2008-08-13 080813-N-4515N-150 Navy http //www navy mil/view_image asp id 62532 U S Navy photo by Mass Communication Specialist Seaman Apprentice Joshua Adam Nuzzo PD-USGov-Military-Navy Images from US Navy location PUERTO CABEZAS Nicaragua Aboard USS Kearsarge LHD-3 Joseph D Kernan |