An effort underway to bring the death rate down involves outreach, special facilities that offer medical care and shelter, and a controversial new law.

Darlene Mayo, 52, died on a sidewalk near a Koa Pancake House in Wahiawā of severe anemia likely due to a chronic lice infestation.

Aris Garcia died of methamphetamine intoxication on a canal embankment behind a public transit hub in Kalihi. He was 79.

Nichole Seymour, 40, died of pneumonia and a lung infection on the south lawn of the federal office building and courthouse on Ala Moana Drive.

They lived homeless on Oʻahu. They died homeless on Oʻahu — in parks, at bus stops, in public bathrooms, on sidewalks, in hospitals. About half were under a doctor’s care in their final days. Hundreds more died outside. Many were alone. Some were

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