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This study is published in the Japanese Journal of Clinical Oncology. This journal is for clinical oncologists and publishes articles about medical oncology, clinical trials, radiology, surgery, basic research, epidemiology, and palliative care. It was established in 1971 as the first journal from Japan to publish clinical research on cancer in English. It is a sister-journal to the Journal of the National Cancer Institute. It is also linked through the Oxford Journals. 

Emergency response is not mentioned in this article, but the concepts illustrated here would be vital for first responders as it is critical to understand how the culture where they are responding could shape the way they interact with their patients. 

The main argument of this article is that modern medicine searches only for the molecular basis of a disease and neglects the biosocial circumstances of a disease, which has allowed for discrepancy in treatment and spread of disease among rich and poor. This article discusses the concept of structural violence and how that has played a role in disease among the poor. The point of the author in this article is that if science and societies are able to address these issues, there would be a decrease in the spread of disease and an increase in prevention plans. 

This report consists of barriers faced by transgender and gender non-conforming people. Specifically with access to healthcare. It also includes statistics about HIV/AIDS, drug abuse, and suicidal tendencies. They also provide information regarding transition-related care with respect to counseling, hormones, and surgery.  

Paul Farmer has used this paper in later works and has been published in various journals and books. 

This report includes Recommendations towards the end that provides an analysis of the data collected and ways in which these can be improved and fixed in the community. Some include that insurance companies should cover transgender-related health care, ways to end violence against this community, that medical providers should avoid bias and provide proper, equal care, and that more data needs to be collected and obtained to continue in the fight against discrimination.

The article cites various studies and uses the experiences of organizations in order to help plan for the future. The authors use the WHO and the CDC as these examples of experience. They draw upon the AIDS crisis as an example of global outreach and of a public health crisis. Innovation in science is discussed and ongoing research experiments. DOTS (Directly-Observed Treatment, Short Term) program is discussed as well and its shortcomings in dealing with TB.

They also use many examples of situations in which violence against humanitarian workers and facilities occurred. 

They stress the importance of recordkeeping and how that has the ability to change the future outcomes of safety. I would imagine they stress it so intensely due to issues they had in the past. They also have the challenge of dealing with public sectors and workforces not in their jurisdiction. While they are helpful for those they cover, those they do not provide concern in that they can't protect the workers and avoid accidents and emergencies. 

I can't find anything about how it was received back in the day, but with the current refugee problem facing the world, there is dispute about how to treat refugees and other immigration issues. Rhetoric used to describe refugees - especially those from Syria - has caused a lot of xenophobia around the world and various problems regarding immigration.