A competitor reacts as she emerges from the water during the Tough Guy event in Perton, central England, January 26, 2014. The annual Tough Guy race – “the toughest race in the world” – at Perton in Staffordshire. Tough Guy claims to be the world’s most demanding one-day survival ordeal. First staged in 1987, the Tough Guy Challenge has been widely described as one of the hardest races of it’s type with up to one-third of the starters failing to finish in a typical year. (Photo by Darren Staples/Reuters)

Young Buddhist novice monks play at a Tibetan nomadic summer grazing area on July 24, 2015 on the Tibetan Plateau in Yushu County, Qinghai, China. Tibetan nomads face many challenges to their traditional way of life including political pressures, forced resettlement by China's government, climate change and rapid modernization. The Tibetan Plateau, often called “The Roof of the World”, is the world's highest and largest plateau. (Photo by Kevin Frayer/Getty Images)

A competitor makes their way through fire as they take part in the Tough Guy endurance event near Wolverhampton, central England, on January 27, 2019. The Tough Guy event challenges hundreds of competitors to run a gruelling course whilst negotiating up to 300 obstacles including water, fire, and tunnels. (Photo by Oli Scarff/AFP Photo)

Baka pygmies in their forest home preparing food in, Sangha Forest, Central African Republic, February 2016. Here, in their forest home, traditional life continues in the face of multiplying challenges ranging from poachers, to ill health. Deep in the rainforests of central Africa lives one of the world’s most mysterious tribes. (Photo by Susan Schulman/Barcroft Images)

Members of China Disabled Peoples Performing Art Troupe perform “Thousand-arm Goddess of Mercy” during a show on March 12, 2005 in Guangzhou of Guangdong Province, China. China Disabled Peoples Performing Art Troupe was established in 1987. It is an amateur mass art troupe composed of visually impaired, audibly impaired and physically and mentally challenged people. In the past nearly two decades, the troupe has visited more than 30 countries and regions, winning the hearts of audiences all over the world by their solid background of Chinese Culture and their colourful national charm. (Photo by China Photos/Getty Images)

David Hall’s photographs of scenery and creatures off the coast of Canada in the Pacific Northwest portray serenity under the water, which belie the extreme challenges he faces to get his images. For each shoot, Hall wears a dry suit, a neoprene body suit that covers all of his body but his head and traps air inside to keep him warm. Water temperature in Canada’s British Columbia typically ranges between 45 and 50 degrees Fahrenheit. Photo: Moon jellyfish and cross jellies. (Photo by David Hall)

One of the worlds shortest models Mary Russell at 4 feet 1 inch with 6 foot model Georgia Meacham in London, UK on June 16, 2016. The 4ft1 beauty suffers with achondroplasia a medical term for dwarfism, which means she has as average sized torso but short arms and short legs, with an oversized head. As well as stifled growth, Mary also suffers with sciatica and spinal stenosis, an abnormal narrowing of the spinal canal – which cause agonising nerve problems, leaving her in excruciating pain and unable to stand for long periods of time. The condition leaves Mary, 47, struggling with everyday tasks things most people take for granted like going to the supermarket, getting cash from an ATM and ordering a drink at a bar become a challenge. (Photo by Simon Jacobs/Caters News Agency)

Shooting star by Tony Wu, US/Japan. Winner, underwater. The electrifying reproductive dance of a giant sea star. As the surrounding water filled with sperm and eggs from spawning sea stars, Wu faced several challenges. Stuck in a small, enclosed bay with only a macro lens for photographing small subjects, he backed up to squeeze the undulating sea star into his field of view. The dancing posture of spawning sea stars rising and swaying may help release eggs and sperm, or may help sweep the eggs and sperm into the currents where they fertilise together in the water. Kinko Bay, Japan. (Photo by Tony Wu/Wildlife Photographer of the Year)