ENTRY/EXIT REQUIREMENTS:  A passport, visa, and evidence of yellow fever vaccination are required. Travelers may obtain the latest information on entry requirements from the Embassy of the Republic of Djibouti, 1156 15th Street, N.W., Washington, D.C. 20005, telephone (202) 331-0270, or at the Djibouti Mission to the United Nations, 866 United Nations Plaza, Suite 4011, New York, N.Y. 10017, telephone (212) 753-3163.  Overseas, inquiries may be made at the nearest Djiboutian embassy or consulate.  In countries where there is no Djiboutian diplomatic representation, travelers may sometimes obtain visas at the French Embassy.

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MEDICAL FACILITIES AND HEALTH INFORMATION: Adequate medical facilities in the capital of Djibouti are limited and medicines are often unavailable.  Medicines that are available are extremely expensive.  Medical services in some outlying areas may be completely nonexistent.  Motorists especially should be aware that in case of an accident outside the capital, emergency medical treatment would depend almost exclusively on passersby.  In addition, cell phone coverage in outlying areas is often unavailable, making it impossible to summon help.

Malaria and dengue fever are prevalent in Djibouti. Travelers who become ill with a fever or flu-like illness while traveling in a malaria-risk area and up to one year after returning home should seek prompt medical attention and tell the physician their travel history and what anti-malarial drugs they have been taking.

In 2005, polio was found in all of Djibouti’s neighbors (Somalia, Ethiopia, Eritrea and Yemen) and health professionals strongly suspect it is present in Djibouti. The Advisory Committee on Immunization Practices (ACIP) recommends that all infants and children in the United States should receive four doses of inactivated poliovirus vaccine (IPV) at 2, 4, and 6–18 months and 4–6 years of age.  Adults who are traveling to polio-endemic and epidemic areas and who have received a primary series with either IPV or oral polio vaccine should receive another dose of IPV.  For adults, available data does not indicate the need for more than a single lifetime booster dose with IPV.

Information on vaccinations and other health precautions, such as safe food and water precautions and insect bite protection, may be obtained from the Centers for Disease Control and Prevention’s hotline for international travelers at 1-877-FYI-TRIP (1-877-394-8747)

MEDICAL INSURANCE:  The Department of State strongly urges Americans to consult with their medical insurance company prior to traveling abroad to confirm whether their policy applies overseas and whether it will cover emergency expenses such as a medical evacuation.

REGISTRATION / EMBASSY LOCATION: Americans living or traveling in Djibouti are encouraged to register with the nearest U.S. Embassy or Consulate through the State Department’s travel registration website and to obtain updated information on travel and security within Djibouti.  Americans without Internet access may register directly with the nearest U.S. Embassy or Consulate.  By registering, American citizens make it easier for the Embassy or Consulate to contact them in case of emergency.

The U.S. Embassy is located at Plateau du Serpent, Boulevard Marechal Joffre, Djibouti City.  The mailing address is Ambassade Americaine, B.P. 185, Djibouti, Republique de Djibouti.  The telephone number is (253) 35-39-95.  The fax number is (253) 35-39-40.  Normal working hours are Sunday through Thursday, 8:00 a.m. to 4:30 p.m.