Brazil is well known for its large production of alcohol fuel (fermenting ethanol from sugarcane and sugar beets). The State of Pernambuco itself is the 5th highest sugarcane producer of the country. Whereas, Brazil annually manufactures around 18 billion litres of alcohol, of which 3.5 billion are exported. Alcohol fuel is used as an alternative fuel for hybrid fuel car engines called "Flex" and this industry plays a vital role in the economy of the country.
Recife has the second largest medical team in Brazil, next to Sao Paolo. The city has a total of 417 hospitals and clinics with 82,000 beds, contributing a total of 220 million R$. Many people from the neighboring cities and states come to Recife for treatment as it offers the latest technology and the best services in the North-Eastern part of Brazil.