A man lays passed out beside a garbage can on the street on November 10, 2017 in Los Angeles, California, home to one of the nation's largest homeless populations, and where health officials are trying to ramp up efforts to stop the spread of Hepatitis A, as numbers are beginning to surge among gay and bisexual men, but not the homeless. The highly contagious liver disease can spread easily through homeless populations because of unsaintary conditions.
  / AFP PHOTO / FREDERIC J. BROWN        (Photo credit should read FREDERIC J. BROWN/AFP/Getty Images)