Wang Zhengqing, a 74 year old pneumoconiosis patient, smokes his pipe at Yangjia Hospital in Wuyi County, Zhejiang Province, China October 19, 2015. Former miner Wang was diagnosed with the disease, which is caused by dust inhalation, when he was 24 and has lived at Yangjia Hospital for ten years. (Photo by Damir Sagolj/Reuters)

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)

Devotees throw flower petals on an idol of the Hindu god Ganesh, the deity of prosperity, on the occasion of his birthday, celebrated as Magha Ganesh Jayanti, before immersing the idol into the Arabian sea, in Mumbai, India on February 16, 2021. (Photo by Francis Mascarenhas/Reuters)

People watch as workers inflate a near-10 metre high giant spider by Singaporean artist Jackson Tan in Singapore's Marina Bay financial district on February 6, 2017. The spider is one of several inflatable creatures that will form the Art-Zoo, a section created by Singaporean artist Jackson Tan for the iLight Marina Bay annual light-art festival in the city-state. (Photo by Roslan Rahman/AFP Photo)

A man poses as his acquaintance takes pictures on a street in the town of Vyborg, Russia on January 28, 2024. (Photo by Anton Vaganov/Reuters)

Noah, 10, cools himself off in his garden during hot weather in Hertford, Britain, June 25, 2020. The UK is experiencing a summer heatwave, with temperatures in many parts of the country expected to rise above 30°C and weather warnings in place for thunderstorms at the end of the week. (Photo by Andrew Couldridge/Reuters)

Some people prepare to catch offerings thrown by Tengger tribe people into the crater of Bromo volcano to in Probolinggo, East Java province, on June 30, 2018, as part of Yadnya Kasada festival which falls on the 14th day of the Kasada month based on the traditional Hindu lunar calendar. (Photo by Juni Kriswanto/AFP Photo)

A close up of ornaments of centuries-old idols of Lord Buddha during the Pancha Daan, Five donation, festival in Bhaktapur, Nepal, 30 August 2016. Thousands of Buddhist pilgrims observe the main day of the Pancha Daan also known as a five summer gifts (rice, grain, salt, money and fruits) festival which is observes for world peace and human welfare. (Photo by Narendra Shrestha/EPA)