Devotees of the Chinese Jui Tui shrine are seen with spikes piercing their cheeks during a procession celebrating the annual vegetarian festival in Phuket, Thailand in this October 19, 2015 combination photo. The festival, featuring face-piercing, sacrifice, spirit mediums and strict vegetarianism celebrates the local Chinese community's belief that abstinence from meat and various stimulants during the ninth lunar month of the Chinese calendar will help them obtain good health and peace of mind. (Photo by Jorge Silva/Reuters)

Women walk next to soldiers in Surcubamba, Peru, Thursday, May 21, 2015. The Joint Command of the Peruvian Armed Forces organized a humanitarian mission to Surcubamba, where health care was provided to families from nearby villages in this region called VRAEM, the acronym for Valley of the Apurimac, Ene and Mantaro rivers, where sixty percent of Peru's cocaine originates. (Photo by Rodrigo Abd/AP 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)

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)

A little girl holding her newborn sister waits for their turn in a queue during a vaccination campaign under the supervision of the Syrian Arab Red Crescent (SARC) humanitarian nonprofit organization, in the besieged Syrian town of Douma, Syria, 23 May 2017. According to a statement from SARC, in the city of Douma some 12,809 children under the age of five were immunized in a vaccination campaign to prevent measles and poliomyelitis. The campaign was the first of its kind with the participation of 100 volunteers. SARC has been delivering vaccines to 17 health centers approved for vaccination campaigns in towns and villages in the Eastern Ghouta area. (Photo by Mohammed Badra/EPA)

In this April 14, 2014 file photo, Hamamatou Harouna, 10, who lost the use of her legs to polio, crawls to the restroom on the grounds of the Catholic Church where she and hundreds of others found refuge after fleeing violence in her village, in Carnot, Central African Republic. Health authorities on Tuesday, August 25, 2020 are expected to declare the African continent free of the wild poliovirus after decades of effort, though cases of vaccine-derived polio are still sparking outbreaks of the paralyzing disease in more than a dozen countries. (Photo by Jerome Delay/AP Photo/File)

Health workers wearing face masks spray disinfectant liquid on sacrificial animals amid concerns over the spread of the SARS-CoV-2 coronavirus that causes the pandemic COVID-19 disease ahead of the Muslim festival of Eid al-Adha at an animal market in Hyderabad, southern Pakistan, 21 July 2020. (Photo by Nadeem Khawar/EPA/EFE)

A woman argues with police officer during a protest in support of jailed opposition leader Alexei Navalny in Ulan-Ude, the regional capital of Buryatia, a region near the Russia-Mongolia border, Russia, Wednesday, April 21, 2021. Navalny's team has called for nationwide protests on Wednesday following reports that the politician's health was deteriorating in prison, where he has been on hunger strike since March 31. Russian authorities have stressed that the demonstrations were not authorized and warned against participating in them. (Photo by Anna Ogorodnik/AP Photo)