42 Health Services Extended to Citizens during 2009: • Frequency rate at primary health care facilities and poly clinics for 2009 is estimated at 2.7 times per capita. Public hospitalization covered 624,973 cases, 158,364 delivery operations and 121,000 surgeries. • At the level of health services, the compulsory vaccination coverage percentage ranged between 95 – 100%. Further, 99.88% of deliveries were performed with medical care at different health facilities. • In the area of artificial kidney services, dialysis services were extended to 2487 patients in 38 dialysis centers using 897 dialysis machines. Also 46 renal transplantations were performed. Second: Health Environment The Great Jamhirya attaches paramount importance to environment health preservation especially against a backdrop of variegated environmental phenomena threatening mankind. To face this, the Jamhirya has adopted an array of legal and executive procedures to help preserve the environment and provide a space for the citizen to live soundly. 1- Executive Procedures A. National Program for Environment Health This Program is aimed to achieve a set of aspired national policies for the protection and health of the existing environmental situation and the rectification of wrongdoings in order to ensure besides preservation of natural resources, rationalization of their consumption and securing of their sound investment, redress of different environmental pollution problems and elaboration of effective and sustainable development programs. The Program offers a package of