By Wilder Alejandro Sánchez

Written by Wilder Alejandro Sanchez, The Southern Tide addresses maritime security issues throughout Latin America and the Caribbean. The column discusses regional navies’ challenges, including limited defense budgets, inter-state tensions, and transnational crimes. It also examines how these challenges influence current and future defense strategies, platform acquisitions, and relations with global powers.

“Whether [working] against COVID, transnational criminal organizations, the predatory actions of China, the malign influence of Russia, or natural disasters, there’s nothing we cannot overcome or achieve through an integrated response with our interagency allies and partners.” – General Laura J. Richardson, Commander, U.S. Southern Command

While the Caribbean Sea is currently not as dangerous as the Black Sea or the Red Sea, from combating drug trafficking and illegal fishing to humanitarian assistance/disaster relief operations to a belligerent Nicolas Maduro regime in Venezuela, Caribbean naval forces have many daily missions and priorities. The United States, via US Southern Command and the US Coast Guard, and the armed forces of France, the Netherlands, and the United Kingdom – which have overseas territories across the Caribbean – are all present across Caribbean waters and are critical partners of regional defense forces.

This commentary briefly summarizes the joint military Caribbean exercises scheduled for 2024 and other recent high-level meetings to understand the concrete actions regional armed forces are carrying out to tackle the region’s threats and challenges.

Exercises and Training…

Two major multinational military exercises will take place in the Caribbean. Later this year, the US-sponsored multinational military exercise Tradewinds 2024 will occur, with Barbados serving as the host. The Main Planning Conference (MPC) commenced in Bridgetown on January 29. “The main planning conference for Tradewinds 24 underscores our collective commitment to fostering regional security and stability,” said Maj. Angela Valcin, the US Southern Command (SOUTHCOM) lead planner for Tradewinds 2024. The following “pivotal juncture” in the Tradewinds planning process will be the final planning conference in March, explained the Command.

Also this year, France will organize the multinational Caribbean exercise Caraibes 2024, which will take place on June 1-6. The January 23-24 planning conference held at the Joint Staff of the Forces Armées aux Antilles had representatives of the armed forces from the United States, Canada, Colombia, Trinidad and Tobago, and the Netherlands, as well as numerous other state partners and non-governmental organizations (NGOs). The maneuvers are focused “on a scenario involving assistance to the population following a natural disaster affecting the French Caribbean islands.”

Caribbean navies, along with several partners, also train via exercise Event Horizon, a multinational, multi-agency event aimed at strengthening the capacity of Caribbean and Central American countries in areas like maritime law enforcement, aeronautical and maritime research, and humanitarian assistance and disaster relief (HADR). The 2024 version of the exercise included troops and assets from the Royal Bahamas Defence Force (RBDF), Jamaica Defence Force (JDF), Cayman Island Coast Guard, Turk and Caicos Islands Regiment, the Dominican Republic Navy, and the Belize Coast Guard, in addition to the Colombian Navy and Canadian Armed Forces.

Bilateral maneuvers also occur with regularity, including passing exercises (PASSEX). The French patrol vessel La Combattante trained with the Colombian Oceanic Patrol Vessel ARC Victoria as part of exercise Royal Tucan in January 2024. A Colombian aircraft of undisclosed model and ships assigned to the Colombian Coast Guard also participated in the Caribbean exercises. “Operation Toucan Royal is part of a strategy to combat drug trafficking by sea and its related crimes;” the two navies are engaged in “operational and naval training activities… to enhance the capabilities of the two institutions and improve interoperability,” explained the Colombian Navy. Royal Tucan 2024 was the second iteration of the exercise.

In other words, there is plenty of year-round training across Caribbean waters. The three major Caribbean-focused multinational maneuvers are Tradewinds, Caraibes, and Event Horizon, but there are several bilateral exercises, such as Royal Tucan. (While a land-based exercise, it is also worth mentioning exercise Red Stripe between the JDF and British Army, which took place in January 2024.)

….And Meetings

Finally, while summits between Caribbean presidents and prime ministers with their US and European peers do not occur often, there is robust communication between these militaries. Just this past January, the 4th United Kingdom and Caribbean Heads of Defence Conference took place in Guyana to discuss issues including regional security.

As for the US, Southern Command’s commander, US Army General Laura Richardson, participated in the Caribbean Nations Security Conference 2023, co-organized by Southern Command and the Jamaica Defence Force, last June 2023. A total of 16 nations from across the Caribbean, plus the United States, participated. More recently, the 2023 Caribbean-US High-Level Security Cooperation Dialogue took place last November. A dialogue statement announced how the participating governments pledged to cooperate on issues like maritime law enforcement and maritime security and defense. Specific topics addressed included commencing the implementation of the Caribbean Maritime Security Strategy “to advance sustainable and complementary defense and law enforcement cooperation, improve maritime operational capacity and security,” and also to “employ Maritime Domain Awareness (MDA) technology to identify and disrupt illicit networks and more effectively detect illicit maritime activity throughout the Region.”

The examples above highlight constant communication, apart from training, between Caribbean defense forces and their partners.

Ships and More Ships

Apart from the importance of training and high-level meetings, several Caribbean defense forces are in the process of obtaining new vessels to modernize their fleets: the Guyana Defence Force is awaiting to receive a patrol vessel purchased from the US shipyard Metal Shark; the Royal Bahamas Defence Force has purchased four craft from Safe Boats International; and the Jamaica Defence Force (JDF) commissioned its new offshore patrol vessel, HMJS Norman Stanley, in November 2023. While acquisition programs are not as splendid as those of global naval powers or regional powers like Brazil, which is domestically manufacturing submarines and frigates, Caribbean militaries are slowly revamping their naval fleets. With that said, regional militaries require more (modern) ships at sea to properly patrol their vast territorial waters and exclusive economic zones.

The limited size of Caribbean fleets means that regional and extra-regional partners are critical partners. SOUTHCOM, via the US Fourth Fleet and the US Coast Guard, already carries out continuous operations across the Caribbean. (In previous analyses for CIMSEC, the author had proposed that SOUTHCOM should be permanently assigned a hospital ship and one, if not two, littoral combat ships.) Similarly, the three European states with Caribbean territories deploy assets to the region. The Netherlands, for example, has a rotating offshore patrol vessel in the Dutch Caribbean, in addition to the Dutch Caribbean Coast Guard. In January, the Dutch military’s General Atomic MQ9 Reaper unmanned aerial vehicles flew their final surveillance missions across the Dutch Caribbean before their new deployment in Romania. 

Analysis

While the Caribbean does not receive the attention it deserves in Washington, militaries and coast guards have been active across these waters in January 2024 alone, with several important maritime operations: the Dutch Caribbean Coast Guard deployed a Metal Shark patrol vessel and a helo to intercept a small speedboat between Little Curacao and Curacao islands; aboard were packages totaling over 218 kilograms of cocaine. Similarly, The JDF Coast Guard intercepted a vessel transporting “2,600 pounds of ganja;” the operation represents “a major dent against the drug-for-guns trade between Jamaica and Haiti.” As the violence and instability in Haiti will not improve anytime soon, it is important for Caribbean navies and coast guards to have larger, and more modern, maritime and air assets to patrol their own waters to combat crimes related to Haiti.

Also in January, the US Coast Guard Cutter Resolute (WMEC 620) docked in Saint Petersburg, Florida, completing a 60-day mission. The Cutter unloaded “approximately $55 million worth of illicit narcotics” during its operations as part of Joint Interagency Task Force-South. The same month, the Coast Guard Cutter Margaret Norvell (WPC-1105) “offloaded more than 2,450 pounds of cocaine with an assessed street value of approximately $32.2 million” in two separate missions. Drug trafficking continues to be rampant across the Caribbean waters. Hence, Navy and Coast Guard vessels voyaging the seas, not to mention maritime patrol aircraft and UAVs serving as a vital eye in the sky, are necessary to crack down on this never-ending crime. Vessels and supporting aircraft are essential to combat other maritime crimes, such as illegal, unregulated, and unreported fishing, piracy, or smuggling of weapons or human trafficking.

Moreover, HADR operations are vital during the annual hurricane season in the summer months. Past hurricanes like Irma in 2017, Dorian in 2019, and Eta and Iota in 2020 devastated Caribbean islands and Central America. As this article was being written, the international media reported that scientists are proposing hurricanes have a Category 6 (the current maximum is Category 5), given that climate change will increase their strength and destructiveness in the coming years. Cooperation and experience to work jointly will be critical when, inevitably, Category 6 hurricanes hit the Caribbean and militaries, including extra-regional partners, are deployed to the frontlines of HADR operations.

While inter-state conflict remains unlikely, the Maduro regime in Venezuela remains a security concern, certainly not for the United States, with threats to neighboring military-weaker Guyana especially concerning. The collusion between the Maduro regime and drug-trafficking cartels makes the regime even more of a regional and global concern. In late 2023, the British patrol vessel HMS Trent voyaged by Guyanese waters to support Georgetown against controversial and belligerent statements and actions by the Nicolas Maduro regime, including a December 2023 referendum.

This year is already shaping up to be full of capacity training and joint interoperability training for Caribbean naval forces, given exercises Tradewinds, Caraibes, and Event Horizon, not to mention several bilateral exercises. While the situation across the Caribbean is not as dire as the Black Sea or the Red Sea, its geographical proximity to the US, the plethora of regional allies, the ever-present drug trafficking (among other crimes), and upcoming natural disasters mean that Washington should provide relevant agencies and partners with more assets and resources.

Wilder Alejandro Sánchez is an analyst who focuses on international defense, security, and geopolitical issues across the Western Hemisphere, Central Asia, and Eastern Europe. He is the President of Second Floor Strategies, a consulting firm in Washington, DC, and a non-resident Senior Associate at the Americas Program, Center for Strategic and International Studies. Follow him on X/Twitter: @W_Alex_Sanchez.

Featured Image: Belize Defense Force, Meixcan Marines, and US Marines conduct culminating exercises including vehicle takedown, search and seizure, arrest, riot control, and building raids May 19, 2022 at Belize Police Training Academy for Tradewinds 2022 (Belizian government photo by Spc. Emiliano Alcorta). 

“Whether [working] against COVID, transnational criminal organizations, the predatory actions of China, the malign influence of Russia, or natural disasters, there’s nothing we cannot overcome or achieve through an integrated response with our interagency allies and partners.” –General Laura J. Richardson, Commander, U.S. Southern Command

The hospital ship USNS Comfort (T-AH-20) has returned to Latin American waters, as the vessel carried out a medical assistance mission across the Caribbean from October to December 2022. This is the first time in years Comfort has been in the region since the pandemic begun. Other South American navies also have hospital vessels that carry out similar missions, primarily for their domestic populations. Hospital ships are some of the region’s most vital yet underappreciated assets, while also being one of the most tangible elements of how many regional populations interact with navies. The U.S. and regional countries should consider the benefits of hospital ship operations with a view toward potentially investing in more of these valuable vessels.

Comfort Returns

As part of Operation Continuing Promise 2022 (CP2022), organized by U.S. Naval Forces Southern Command/U.S. 4th Fleet, the 1,000-bed hospital ship commissioned in 1986 visited Colombia, the Dominican Republic (DR), Guatemala, Haiti, and Honduras. The ship departed Naval Station Norfolk on October 19 and returned to Norfolk on December 21. As SOUTHCOM explained during the operation, “During these mission stops, Continuing Promise medical teams will focus on working alongside partner nation medical personnel to provide care on board and at land-based medical sites to increase medical readiness.”

Some medical services offered to Latin American and Caribbean citizens include preventive medicine, optometry screenings, general surgery, eye-wear distribution, and public health training. Comfort’s crew for CP2022 had military personnel from U.S. partners, including “Canada, Chile, the Dominican Republic, Ecuador, Netherlands, the United Kingdom, and more than a dozen non-governmental organizations.”

General Laura Richardson, who took command of SOUTHCOM in 2021, personally participated in the humanitarian mission. She traveled to Colombia when Comfort was there and visited the Dominican Republic to observe “the #USNSComfort’s #ContinuingPromise humanitarian mission & meet with security officials to discuss the USUS-#DominicanRepublic partnership,” SOUTHCOM tweeted on November 29.

The CP2022 was Comfort’s eighth deployment to the region since 2007. Since 2007, Continuing Promise medical personnel have treated more than 582,000 people, and conducted more than 7,000 surgeries, SOUTHCOM notes.

Hospital Ships in South America

Comfort is not the only hospital vessel that operates in Latin American waters. A quick perusal finds several of these invaluable assets across regional navies.

Peru is a good example. The country’s shipyard SIMA has built a fleet of medical and social service ships (Plataformas Itinerantes de Acción Social: PIAS) that operate throughout Peru’s various rivers, with one platform, PIAS Lago Titicaca I, exclusively assigned to sail in Lake Titicaca, which Peru shares with Bolivia. The ships provide medical and state services, like issuing national IDs, and bank services. For example, Lago Titicaca set sail on November 14 from Puno port to assist the populations of Moho, Yunguyo, and Puno with 14 stops. This was the ship’s fourth tour in 2022 alone. 

The Brazilian Navy operates several hospital ships (Navios de Assistência Hospitalar: NAsH): Doutor Montenegro (U16), Oswaldo Cruz (U19), Carlos Chagas (U19), Soares de Meirelles (U21), and Tenente Maximiano (U28). A new vessel, Anna Nery (U170), is currently in construction. Like Peru’s PIAS, these ships regularly sail through Brazilian rivers, providing medical assistance to isolated riverine communities.

Andrea Resende, Ph.D., an Associate Professor at the University Center of Belo Horizonte (UNIBH), explained to the author, four vessels operate in the Amazonian region, comprised by the 4th and 9th naval districts, and the NAsH Tenente Maximiano operates in the 6th District, the pantanal region. Doutor Montenegro carried out Operation Acre XXII in 2022, visiting indigenous and riverine communities in Acre and Amazonas states. With a crew of 85 military personnel and 29 health experts, the vessel provided a variety of services, like X-ray tests, surgeries, mammograms, testing for HIV, dengue, and malaria, and also providing vaccines.

Resende highlighted the importance of this fleet – “They are the main source of medical support for indigenous people and the ‘Riberinhos,’ a traditional population in Brazil… Considering that the Pantanal and the Amazonian region have large masses of water but low demographic distribution, the NAsH fleet is the only source of medical assistance that can reach those populations.” Helicopters can reach these communities with vital equipment and supplies, but the ships carry more personnel and capacity to provide services aboard.

Resende noted that humanitarian operations carried out by the Brazilian Navy also rely on partnerships: “The Navy performs operations with the Unified Health System (SUS – the public health care system) and NGOs. For example, in November 2022, the NAsH Carlos Chagas operated with the NGO Operation Smile, bringing a multidisciplinary crew to treat patients with cleft lips/palate in the Amazonian Region,” she explained.

Another example is the Chilean Navy, which operates a medical patrol boat (Patrullero Médico Dental-74), Cirujano Videla. The vessel was commissioned in 1994 as a patrol vessel but was modified by the Chilean state-run shipyard ASMAR. In 2006, it was renamed and tasked with carrying out medical duties, in addition to other missions. From November 15-19, Videla assisted communities in Quellón and Queilen, Southern Chile. Since its recommissioning over a decade and a half ago, the vessel has provided “over 80,000 medical services ” to assist the population of Chile’s Chiloé archipelago.

Mario Pedreros, a retired officer of the Chilean Navy and vice president of the Washington DC-based The Georgetown Consulting Group, explained to this author that the Chilean Navy and the Chiloé health service signed a cooperation agreement via which Videla sails the archipelago composed of some 50 islands to assist local communities that can range from 20 to 200 people each. “The medical services provided in the Chiloé archipelago by PMD Videla are the only option residents have” to access medical services, Pedreros noted. Hence Videla’s deployments are “essential and an operation only the Navy can provide, and that is recognized and appreciated by residents.”

Sailing Forward

Having hospital ships in a fleet brings obvious advantages during times of war. However, the navies of Brazil, Chile, and Peru utilize their hospital ships to routinely assist their fellow citizens. Similarly, Comfort is a significant expression of the U.S. desire to help people in need throughout the hemisphere. But more can be done to leverage these platforms and capitalize on the goodwill they have earned.

In a previous commentary, this author argued that SOUTHCOM should have a permanently-assigned hospital vessel. A similar argument can be made for Latin American navies. For Brazil and Peru, more riverine hospital ships are certainly welcome. It is a positive development that the PIAS fleet in Peru is fairly modern, as it was built over the past decade (an idea of former President Ollanta Humala), while Brazil is building Anna Nery – the first of the active fleet to have a female name, another positive development. Therefore, it is not unthinkable that Peru’s SIMA and a Brazilian shipyard could team in a joint venture to design a new model of riverine hospital ships. Similarly, as the Chilean Navy looks to upgrade its fleet of transportation vessels by domestically building new platforms at the Chilean state-run shipyard ASMAR, constructing an additional hospital ship is an idea that should not be overlooked. 

That said, regional navies indeed have multipurpose vessels that can be utilized for HA/DR operations or medical assistance. Peru has the Landing Platform Dock BAP Pisco (AMP-156), and its sister ship BAP Paita was launched on December 9. Similarly, Chile has other logistical platforms like transport vessel Aquiles (AP-41), Sargento Aldea (LSDH-91), Chacabuco (LST-95), and Rancagua (LST-92); “these are all logistical vessels with medical capabilities of varying degrees,” Pedreros noted. “Even the icebreaker [which local shipyard ASMAR is currently building] also has medical facilities,” the retired naval officer added.

When asked by the author if the Chilean Navy should invest in another hospital vessel like Videla, Pedreros noted, “nowadays, logistical vessels have various roles… and the new vessels of project Escotillón IV [a shipbuilding project also carried out by ASMAR] will have the capacity to carry medical beds for patients, and also medical equipment onboard, therefore increasing their [medical] capabilities.”

Building a hospital vessel is a complicated matter from a budgetary standpoint. Each Latin American Navy must consider its area of responsibilities and debate the requirements for hospital ships, including whether a single vessel is sufficient for distant operations. For Peru, having a fleet of PIAS is beneficial to cover the country’s vast Amazonian territory and Lake Titicaca, but multipurpose vessels are arguably sufficient for coastal HA/DR operations. The Brazilian Navy is in a similar situation. Nevertheless, acquiring at least one single but modern hospital ship that is capable of open-water operations could be vastly beneficial for several countries and fleets.

The work carried out by hospital ships throughout the Western Hemisphere has proven invaluable and delivered tangible humanitarian benefit. SOUTHCOM and Latin American navies should consider supporting the construction of more of these assets. The many civilians whose ailments will be addressed by the medical personnel aboard these vital maritime assets will undoubtedly thank them.

Wilder Alejandro Sánchez is an analyst who focuses on international security and geopolitics. He is the President of the new consulting firm Second Floor Strategies. Follow him on Twitter: @W_Alex_Sanchez.

Featured Image: Brazilian Navy Hospital Assistance Vessel Doutor Montenegro (U16) (Photo via Wikimedia Commons).