Conjoined twins Angelica (C) and Angelina Sabuco (L) play with child life specialist Allison Brooks during a press conference at the Lucile Packard Children's Hospital at Stanford on October 31, 2011 in Palo Alto, California. Two year-old conjoined twins Angelica and Angelina Subaco who are connected at the chest and abdomen are preparing for separation surgery by Dr. Gary Hartman. The surgery will last between 6 and 8 hours that is followed by three hours of reconstructive surgery for each girl. (Photo by Justin Sullivan/Getty Images)

In this photograph taken on February 15, 2021, doctor Sergen Saracoglu (L) and nurse Yilzdiz Ayten (C) from the Bahcesaray public hospital vaccination team, arrive at the village of Guneyyamac in eastern Turkey, as part of an expedition to vaccinate residents of 65 years old or above with Sinovac's CoronaVac Covid-19 vaccine. (Photo by Bulent Kilic/AFP Photo)

Hawaii has long been known as a tropical paradise, but in recent years another image has intruded into the state's carefully crafted one of idyllic beaches and relaxing resorts: homelessness. The number of homeless people has grown in recent years, leaving the state with 487 homeless per 100,000 people, the nation's highest rate per capita, above New York and Nevada, according to federal statistics. Many of the homeless, however, defy the stereotype of the mentally ill or drug addicted. They are families, with men and women who work full-time jobs. They are struggling to get a foothold in a place with a high cost of living and low wages. Here: in this Thursday, August 27, 2015 photo, a homeless man drinks water while sitting on the beach at Ala Moana Beach Park located near Waikiki in Honolulu. (Photo by Jae C. Hong/AP Photo)

Two brave contestants take part in the World Gravy Wrestling Championships at the Rose 'n Bowl in Stacksteads, Lancashire, England on August 27 2018. Contestants must wrestle in the gravy for 2 minutes, points are scored for fancy dress, comedy effect, entertainment and wrestling ability. The event is held to raise funds for the East Lancashire Hospice and competitors nominated charities. (Photo by The Mercury Press)

Woman on swings attached to a float during the Sexual Freedom Parade, part of Naughty in N'awlins held in New Orleans, Louisiana, Wednesday July 5th, 2017. These are the photos from inside the world’s largest swinging convention for couples. The exclusive images reveal the unlikely couples who like to engage in sexual relations with other people besides their partners – and show that swinging is more ‘normal’ than you think. (Photo by Mathew Growcoot/News Dog Media)

A bonnet macaque sits on consecrated idols of snakes as it drinks milk offered by a devotee during the Hindu festival of Nag Panchami, which is celebrated by worshipping snakes to honour the serpent god, inside a temple on the outskirts of Bengaluru, India, July 27, 2017. (Photo by Abhishek N. Chinnappa/Reuters)

Buddhist monks take shelter under a tarpaulin sheet to protect themselves from the rain as they attend the birthday celebrations of the Tibetan spiritual leader the Dalai Lama (unseen) at Drepung Loseling Monastery in Mundgod, in the southern state of Karnataka, India, July 6, 2016. (Photo by Abhishek N. Chinnappa/Reuters)