In this October 8, 2015 photo, Keioleen Helly, 3, center, is held by her grandmother Kionina Kaneso as she gets her temperature taken by medical student Ailea Apana at the University of Hawaii John A. Burns School of Medicine in Honolulu. The family was getting shots for a tuberculosis test required for entry to most shelters from volunteers at a mobile medical van by lantern light. (Photo by Cathy Bussewitz/AP Photo)
