BGEN A.B. Toronka, deputy force commander, Sierra Leone military forces, signs a letter accepting medical supplies and equipment from the United States as LCOL George D'Angelo, Office of Humanitarian Assistance, looks on. A 436th Military Airlift Wing C-5A Galaxy aircraft delivered the material as part of a U.S. humanitarian effort to provide food and other necessities to five African countries stricken by war and famine