Runners wearing full solid-coloured bodysuits take part in a marathon in Tel Aviv, Israel February 26, 2016. Tens of thousands took part in the event, which saw streets closed off from Rokach Boulevard in the north to Jaffa’s Jerusalem Boulevard in the south. Other than the main 42-kilometer (26-mile) run, the day’s events also included a half-marathon route, several shorter circuits, a handcycle race for the handicapped and a mini-marathon for kids of a single kilometer (0.6 miles). (Photo by Amir Cohen/Reuters)

Aimee, 19, who has Down syndrome, has make-up applied by her mother before a presentation in Monterrey, Mexico, in this picture taken April 9, 2016. The association “Abrazame con Discapacidad” (“Embrace me with Disabilities”) teaches folk dance to low-income people with Down syndrome and manages presentations at public events where they receive a payment, as part of a therapy that helps improve their motor system, learning and self-esteem, the association said. (Photo by Daniel Becerril/Reuters)

Visitors look at tropical fish transported from Japan's southern island of Okinawa displayed in a giant 14-ton fish tank at the Sony Square event space in Tokyo on July 17, 2016. The 45-day-long summer exhibition will be held through August 28 to display sea creatures common to the waters around Okinawa. (Photo by Kazuhiro Nogi/AFP Photo)

A Palestinian female masked militant from the Al-Quds Brigades, the military wing of the Islamic Jihad, takes part in an Islamic Jihad rally in Rafah, southern Gaza Strip, 29 July 2016. (Photo by Mohammed Saber/EPA)

Rebel fighters fire towards positions of regime forces in Ramussa on the southwestern edges of Syria's northern city of Aleppo on August 6, 2016. Syrian rebels said they have broken a three-week government siege of second city Aleppo, turning the tables on Russian-backed regime forces who are now on the defensive. (Photo by Fadi Al-Halabi/AFP Photo)

Participants react as they climb a greased pole to collect vouchers for gifts during a “Panjat Pinang” event organised in celebration of Indonesia's 71st Independence day in Jakarta, Indonesia August 17, 2016. (Photo by Darren Whiteside/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)