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Emergency response is discussed more in terms of prevention. While the PIH model was used as a response to the high prevalence of disease in the area, it can be used to show how emergency response may require reaction using a model or system that can be long-term. Prevention is explored using the concept of structural violence and how inherrent structures within our society are causing spread of disease. The paper offers the idea that identifying issues within a society could help response to further emergencies. 

According to Google Scholar, this report has been cited over 130 times. It has been used in various other articles regarding gender identity and discrimination. Many articles are also discussing counseling and support that this community requires. Some news reports have used this as a citing of statistical data.