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"Over the past 10 years, MSF has provided medical care to approximately almost 118,000 victims of sexual violence. Integrating related care into MSF general assistance to populations affected by crisis and conflicts has presented a considerable institutional struggle and continues to be a challenge. Tensions regarding the role of MSF in the care to victims of sexual violence and when facing the multiple challenges inherent in dealing with this crime persist. An overview of MSF experience and related reflection aims to share with the reader on one hand the complexity of the issue, and on the other hand the need to continue fighting for the provision of adequate medical care for victims of sexual violence, which after all and despite the limits, is feasible."

MSF is stricken by the intensely difficult task of helping with sexual violence. Not only do they have to deal with supporting the 118,000 people physically, but they help emotionally as well. Another aspect which contributes to the problem is the vast differences in gender equality throughout the world.  

Several references are written by authors of this article, showing their expertise in the subject and the extension of previous thought. Their work with the PIH is the continuation with references used from studies mentioned in the paper. 

Hailey-Means’ mental and physical health quickly deteriorated. Her treatment by guards and the intolerable conditions in solitary confinement — complete isolation, extreme temperatures, polluted air, the stink of the landfill — led Candie to try to take her own life.

What they’re calling for instead is a divestment from mass incarceration, along with an end to bail, and an investment in health care, living wage jobs, and mental health treatment that would lead to safer communities.

1. "“In the globalized world of the 21st century,” it argued, simply stopping disease at national borders is not adequate. Nor is it sufficient to respond to diseases after they have become established in a population. Rather, it is necessary to prepare for unknown outbreaks in advance"
2. “World health is indivisible, [and] we cannot satisfy our most parochial needs without attending to the health conditions of all the globe.”
3. "This tension relates to a difference in aims but also in forms of intervention: emergency response is acute, short-term, focused on alleviating what is conceived as a temporally circumscribed event; whereas “social” interventions—such as those associated with development policy—focus on transforming political-economic structures over the long term. Thus, in global health initiatives we find a contrast between possible modalities of intervention that parallels the one already described in U.S.–based biosecurity efforts: between acute emergency measures on the one hand and long-term approaches to health and welfare on the other."
4. "Although there is a great sense of urgency to address contemporary biosecurity problems— and while impressive resources have been mobilized to do so — there is no consensus about how to conceptualize these threats, nor about what the most appropriate measures are to deal with them."

Google scholars had this article referenced 52 times. Many of these articles are in refernce to major disasters and the recovery of those areas from said disasters.

The author of this article is Scott G. Knowles, the Department Head for the History Deparment Center for Science, Technology and Society. He has a PhD from Johns Hopkins. He focuses on risk and disaster, with particular interests in modern cities, technology, and public policy. He's released several books on the topic. He has a hefty resume with various publications and activity on research boards, showing his vast knowledge on these topics. 

On the iTunes App Store, there is another app called Medical Management of Radiological Casualties that appears to be similar, but costs $7.99 to download, while REMM's app is free. This app appears to serve a similar function with providing support for healthcare providers, but also includes psychological support information, which REMM does not provide. This app also appears geared toward EMS responders, while the other is primarily made for physicians. 

The article illustrates with the use of statistics of the health care system and their diagnostic method that while the program was created with good intentions, it has become apparent that in order to receive the financial assistance necessary, they need to seek assistance from influential advocacy groups.

I think the main takeaway for first responders would be to treat these refugees as if they were anyone else. They should be treated fairly and favorably and should not be discriminated against when it comes to emergency care.