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)

The coendou porcupine couple 'Joppi' (L) and 'Fletcher' nibble at a vegetables in their enclosure at the zoo in Frankfurt am Main, Germany, 03 December 2015. Coendou porcupines are nocturnal rodents related to porcupines and guinea pigs and native to the rain forests of Central and South America as well as Trinidad. (Photo by Arne Dedert/EPA)

The antennas of the European Southern Observatory's Atacama Large Millimeter/Submillimeter Array, also known as ALMA, are set against the splendor of the Milky Way in this picture by Babak Tafreshi. Construction of the full ALMA array is due to be completed in Chile's Atacama Desert in 2013, but the facility is already making scientific observations with a partial array of antennas. (Photo by ESO/B. Tafreshi/TWAN)

Female pilot Anna climbs out the cockpit of Japanese electronics company Suidobashi Heavy Industry's newly unveiled robot “Kuratas” at the Wonder Festival in Chiba, suburban Tokyo on July 29, 2012. The “Kuratas” robot, which will go on sale with a price tag of one million USD, measures four meters in height, weighs four tons and has four wheeled legs that can either be controlled remotely through the 3G network or by a human seated within the cockpit. (Photo by Yoshikazu Tsuno/AFP Photo)

Sixty-eight year old cross-country runner Rosie Swale-Pope is interviewed while sitting in her cart, “The Icebird”, in Upperville, Virginia March 13, 2015. Swale-Pope, who is from Great Britain and once ran an unsupported 20,000 mile run around the globe, is currently running across the United States from New York City to San Francisco in support of cancer research. (Photo by Gary Cameron/Reuters)

Clown/comedian/filmmaker Pierre Etaix attends The Academy Of Motion Picture Arts And Sciences' Presents “Pierre Etaix: The Laughter Returns” at AMPAS Samuel Goldwyn Theater on November 16, 2011 in Beverly Hills, California. (Photo by Valerie Macon/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)