US Soldier performs surgery during the first-ever MEDREX in Tanzania as part of Justified Accord 2026

U.S. Army Maj. Woo Do, the chief of pediatric surgery with the Directorate for Surgical Services, Walter Reed National Military Medical Center, and Tanzania People’s Defence Forces medical personnel perform surgery on a Tanzanian patient as part of a medical readiness exercise during Justified Accord 2026 at Lugalo General Military Hospital, Dar es Salaam, Tanzania, March 4, 2026. This first-ever MEDREX in Tanzania prepared U.S. military health professionals for the challenges of providing care outside traditional clinical settings. Working alongside African partners, U.S. medical professionals refined their ability to deliver rapid, adaptable and resource-efficient medical care, directly increasing medical readiness for large-scale combat operations. JA26 increases multinational interoperability in support of humanitarian assistance and crisis response, prepares regional partners for United Nations and African Union missions, and builds readiness for the U.S. joint force. Led by U.S. Army Southern European Task Force, Africa (SETAF-AF) and hosted in Djibouti, Kenya and Tanzania, JA26 is U.S. Africa Command's largest exercise in East Africa. (U.S. Army photo by 1st Lt. Tucker Chase)