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)

“Spa treatments don't stop with people. You won't see any aromatherapy candles around, but animals get massages, too, and it's become a regular service that many pet owners value as more than just glorified petting. Practitioners say massage can be a preventive measure for younger animals and rehabilitative for older ones by boosting flexibility, circulation and immunity”. – Terry Tang via The Associated Press. Here: in this November 6, 2014 photo, Shelah Barr of Happy Hounds Massage gives a massage to Dewie, 2, at the home of Laurie Ubben in San Francisco. (Photo by Jeff Chiu/AP Photo)

Hadeel, 10, asks a passerby for help to pay a medical bill as her father Shahrour, 54, sits in his wheelchair in the Douma neighbourhood of Damascus Syria February 3, 2016. Shahrour said he developed diabetes at the beginning of the war in Syria. A lack of insulin led to his medical condition worsening and his right foot had to be amputated. Recently he also suffered a stroke that paralysed half his face. He and part of his extended family, a total of 18 people, live together and struggle to get by. (Photo by Bassam Khabieh/Reuters)

Lebanese students dance during “The Big Dance” event in downtown Beirut, near the parliament May 9, 2015. About 1000 students from all over Lebanon gather and take part in a joint dance with the aim of encouraging people to get into dance and increase fitness levels. This initiative is part of the British Council's project, Connecting Classrooms which aims at building links between schools in the UK and Lebanon. (Photo by Aziz Taher/Reuters)

Jennifer Lopez Gets Loud for Hillary Clinton at Get Out The Vote concert on October 29, 2016 in Miami, Florida. (Photo by Larry Marano/Rex Features/Shutterstock)

From house breaking in Johannesburg to hippos on the loose in Tbilisi to rioters attacking a policewoman in Burundi, Reuters photographers tell the story behind some of the most iconic pictures of the year. Here: Protesters drag a female police officer accused of shooting a protester in the Buterere neighbourhood of Bujumbura, Burundi, May 12, 2015. Goran Tomasevic: Protesters started throwing stones at a group of police, who then started to run away. The policewoman in the photo, Medikintos Inabeza, 33, got left behind and then some protesters started to push her, saying that she had shot a female protestor in the stomach with an AK47 rifle. I didn't see anything of that. There were 5 or 10 protesters pushing the policewoman at first, then others came and joined in. Up to 20 or 30 protesters were surrounding her at one point. The protesters kicked and beat her very badly; I also saw a couple of knives. I thought they were going to kill her... (Photo by Goran Tomasevic/Reuters)

A woman walks through flood water during heavy downpour at a street in Genoa, Italy, 10 October 2014. At least one person died due to flooding after heavy rains caused the Bisagno river, which runs through Genoa city to overflow. Part of the city was in black-out with flooded streets and parked cars dragged away by the water's force. (Photo by Luca Zennaro/EPA)

A person drags a suitcase as a boy clings to it on a square in front of a railway station ahead of the Chinese Lunar New Year in Qingdao, Shandong province, January 28, 2014. About 3.62 billion trips will be made during the 40-day Spring Festival travel rush, which started from January 16, reported Xinhua News Agency citing a government official. (Photo by Reuters/China Daily)