Alejandro Ccasa prays after waiting three days next to an empty oxygen tank for his uncle who has COVID-19 outside a refill shop where he is the first in line before it opens in Callao, Peru, early Tuesday, February 2, 2021. Ccasa said his family has one large tank and it gives about four hours of oxygen therapy. (Photo by Martin Mejia/AP 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)

A Syrian refugee girl covers herself with a blanket as she stands outside tents at a makeshift settlement in Bar Elias in the Bekaa valley January 5, 2015. Lebanon enforced new immigration controls at the Syrian border on Monday in a move to gain control of the steady stream of refugees from its much larger neighbour. (Photo by Mohamed Azakir/Reuters)

A visitor takes in a view of the downtown district from Twin Peaks on Friday, January 9, 2015, in San Francisco. (Photo by Marcio Jose Sanchez/AP Photo)

Kumari Samita Bajracharya sits in front of devotees offers during a special puja at Kumari Ghar in Patan, Nepal, 09 April 2011. It is believed that worshipping Kumari and receiving tika from her reduces illness and avoid problems. Kumari, or Kumari Devi, is a “living goddess”. The word literally means virgin in Nepali. The Living Goddesses are young pre-pubescent girls that are considered to be incarnations of the Hindu Goddess of Power, Kali. The Kumari retires when she reaches puberty. (Photo by Narendra Shrestha/EPA)

Visitors watch as Grigory Broverman, a member of the Cryophile winter swimmers club, pours a bucket of cold water over his 6-year-old daughter Liza during a flash mob, part of a celebration of Polar Bear Day at the Royev Ruchey Zoo in a suburb of the Siberian city of Krasnoyarsk, Russia, November 29, 2015. The air temperature was around minus 5 degrees Celsius. (Photo by Ilya Naymushin/Reuters)

Carved pumpkins designed by US pumpkin artist Ray Villafane are pictured during a pumpkin exhibition in Ludwigsburg, southern Germany, on September 8, 2017. (Photo by Sebastian Gollnow/AFP Photo/DPA)

Mozambique army soldiers take a ride on a motorbike in the streets of Palma, Cabo Delgado, Mozambique, 12 April 2021. The violence unleashed more than three years ago in Cabo Delgado province escalated again about two weeks ago, when armed groups first attacked the town of Palma. (Photo by Joao Relvas/EPA/EFE)