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PUERTO PRINCESA CITY, PALAWAN, Philippines (Apr. 22, 2015) - U.S. Air Force Staff Sgt. Gary Held, 374th Medical Operations Squadron medical technician and Cooperative Health Engagement instructor, provides feedback to local health workers on their response to a mass casualty training scenario as part of exercise Balikatan's first responder training. U.S. military and Armed Forces of the Philippines 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.