A member of “Laughter Doctors of Ciudad Juarez” performs at a children's hospital in Ciudad Juarez March 11, 2015. Through clown performances, music and interactive activities, the group of doctors visit different hospitals throughout the border city, using laughter to help aid the recovery of young and elderly patients suffering from serious illness or injury, as well as provide hope for the hospitalized patients and their families, local media reported. (Photo by Jose Luis Gonzalez/Reuters)

In this March 13, 2015 photo, Yohan, 4, from left, Cristian, 7, and Angelo, 6, playfully toss coca leaves into the air, singing: “I have a lot of money, look at all the money I have”, in La Mar, province of Ayacucho, Peru. Hauling cocaine out of the remote valley is about the only way to earn decent cash in this region where a farmhand earns less than $10 a day. Beyond extinguishing young lives, the practice has packed Peru's highland prisons with cocaine backpackers while their bosses evade incarceration. (Photo by Rodrigo Abd/AP Photo)

A Hindu devotee performs a ritual on Bagmati River during Kuse Aunse (Father's Day) at Gokarna Temple in Kathmandu, Nepal September 13, 2015. Hindus all over the country, whose fathers have passed away, come to the temple for worship, holy dips, and to present offerings on this occasion. (Photo by Navesh Chitrakar/Reuters)

A videographer uses a drone as he takes a video of a model presenting a lingerie creation at the rehearsal for Eve's Temptation collection during China Fashion Week in Beijing, October 26, 2014. (Photo by Kim Kyung-Hoon/Reuters)

“Sorpresa” the clown poses for a picture during a march commemorating Peruvian clown day in Lima Peru, Monday, May 25, 2015. Hundreds of professional clowns dressed in colorful costumes, wigs and face paint marched through the streets of Lima to celebrate Peruvian Clown Day. (Photo by Rodrigo Abd/AP Photo)

Birds fly over the Atomic Bomb Dome in Hiroshima, western Japan July 29, 2015. On August 6, 1945, the U.S. dropped the atomic bomb on Hiroshima, killing about 140,000 by the end of the year in a city of 350,000 residents, in the world's first nuclear attack. Three days later, a second atomic bomb was dropped on Nagasaki. Influenced by the shadows scorched into outdoor surfaces by the heat of the blasts 70 years ago, Reuters photographer Issei Kato pays homage to survivors, residents and historic buildings in both cities in a personal project that captures the shadows of today. (Photo by Issei Kato/Reuters)

A Thai man climbs down from his home in a disused airplane on September 12, 2015 in Bangkok, Thailand. 3 impoverished Thai families have begun living in disused airplanes on a private field. The families, who collect and recycle garbage earning a few dollars a day, can't afford to rent and prefer to stay in the planes. (Photo by Taylor Weidman/Getty 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)