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Health
| | Special Precautions | Certificate Required | | Yellow Fever | Yes | 1 | | Cholera | Yes | 2 | | Typhoid and Polio | 3 | N/A | | Malaria | 4 | N/A |
1: A yellow fever vaccination certificate is required from travellers over one year of age coming from infected areas.
2: Following WHO guidelines issued in 1973, a cholera vaccination certificate is no longer a condition of entry to Djibouti. However, cholera is a serious risk in this country and precautions are essential. Up-to-date advice should be sought before deciding if these precautions should include vaccination as medical opinion is divided over its effectiveness. For more information consult the Health appendix.
3: Immunisation against typhoid is usually advised.
4: Malaria risk, predominantly in the malignant falciparum form, exists throughout the year in the whole country. Resistance to chloroquine has been reported.
Food & drink: Mains water is normally heavily chlorinated, and whilst relatively safe may cause mild abdominal upsets. Bottled water is available and is advised for the first few weeks of the stay. Drinking water outside main cities and towns is likely to be contaminated and sterilisation is considered essential. Milk is unpasteurised and should be boiled. Powdered or tinned milk is available and is advised, but make sure that it is reconstituted with pure water. Avoid dairy products which are likely to have been made from unboiled milk. Only eat well-cooked meat and fish, preferably served hot. Pork, salad and mayonnaise may carry increased risk. Vegetables should be cooked and fruit peeled.
Other risks: Diarrhoeal disease, giardiasis, dysentery and typhoid fever are widespread throughout the country. Hepatitis A, B and E occur and precautions should be taken. Visitors should also consider immunisation against diphtheria. There has recently been an epidemic of dengue fever. Meningococcal meningitis risk exists, depending on area and time of year. Rabies is present. For those at high risk, vaccination before arrival should be considered. If you are bitten, seek medical advice without delay. For more, information consult the Health appendix.
Health care: Health insurance is advisable. Doctors and hospitals may expect immediate cash payment for any form of medical treatment.
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