Djibouti Travel Health Insurance – Country Review
Learn more about Djibouti Travel Health Insurance with an overview from the CDC and the US State Department. Here we cover Vaccines, Medicines and Insurance.
At AardvarkCompare we can’t recommend travel insurance enough. Whether you are just traveling a few hundred miles from home to see family, or traveling to the other side of the world, travel insurance should be considered an essential part of your holiday packing. The hope is that you won’t have to use your travel insurance, and that you’ll have a fun and enjoyable trip. The following advice should help you make the most of your trip to Djibouti.
Djibouti Travel Health – CDC
You should be up to date on routine vaccinations while traveling to any destination. Some vaccines may also be required for travel.
Vaccines and Medicines
Check the vaccines and medicines list and visit your doctor (ideally, 4-6 weeks) before your trip to get vaccines or medicines you may need.
Make sure you are up-to-date on routine vaccines before every trip. These vaccines include measles-mumps-rubella (MMR) vaccine, diphtheria-tetanus-pertussis vaccine, varicella (chickenpox) vaccine, polio vaccine, and your yearly flu shot.
Get travel vaccines and medicines because there is a risk of these diseases in the country you are visiting.
CDC recommends this vaccine because you can get hepatitis A through contaminated food or water in Djibouti, regardless of where you are eating or staying.
You will need to take prescription medicine before, during, and after your trip to prevent malaria. Your doctor can help you decide which medicine is right for you, and also talk to you about other steps you can take to prevent malaria. See more detailed information about malaria in the Djibouti.
You can get typhoid through contaminated food or water in Djibouti. CDC recommends this vaccine for most travelers, especially if you are staying with friends or relatives, visiting smaller cities or rural areas, or if you are an adventurous eater.
Ask your doctor what vaccines and medicines you need based on where you are going, how long you are staying, what you will be doing, and if you are traveling from a country other than the US.
You can get hepatitis B through sexual contact, contaminated needles, and blood products, so CDC recommends this vaccine if you might have sex with a new partner, get a tattoo or piercing, or have any medical procedures.
Rabies can be found in dogs, bats, and other mammals in the Djibouti, so CDC recommends this vaccine for the following groups:
- Travelers involved in outdoor and other activities in remote areas that put them at risk for bat bites (such as adventure travel and caving).
- People who will be working with or around bats (such as wildlife professionals and researchers).
- People who are taking long trips or moving to Djibouti
- Children, because they tend to play with animals, might not report bites, and are more likely to have animal bites on their head and neck.
There is no risk of yellow fever in Djibouti. The government of Djibouti requires proof of yellow fever vaccination only if you are arriving from a country with risk of yellow fever. This does not include the US. If you are traveling from a country other than the US, check this list to see if you may be required to get the yellow fever vaccine: Countries with risk of yellow fever virus (YFV) transmission.
For more information on recommendations and requirements, see yellow fever recommendations and requirements for Djibouti. Your doctor can help you decide if this vaccine is right for you based on your travel plans.
Note: Yellow fever vaccine availability in the United States is currently limited. If you need to be vaccinated before your trip, you may need to travel some distance and schedule your appointment well in advance. Find the clinic nearest you.
Stay Health and Safe
Learn actions you can take to stay healthy and safe on your trip. Vaccines cannot protect you from many diseases in Djibouti, so your behaviors are important.
Eat and Drink Safely
Unclean food and water can cause travelers’ diarrhea and other diseases. Reduce your risk by sticking to safe food and water habits.
- Food that is cooked and served hot
- Hard-cooked eggs
- Fruits and vegetables you have washed in clean water or peeled yourself
- Pasteurized dairy products
- Food served at room temperature
- Food from street vendors
- Raw or soft-cooked (runny) eggs
- Raw or undercooked (rare) meat or fish
- Unwashed or unpeeled raw fruits and vegetables
- Unpasteurized dairy products
- ”Bushmeat” (monkeys, bats, or other wild game)
- Bottled water that is sealed
- Water that has been disinfected
- Ice made with bottled or disinfected water
- Carbonated drinks
- Hot coffee or tea
- Pasteurized milk
- Tap or well water
- Ice made with tap or well water
- Drinks made with tap or well water (such as reconstituted juice)
- Unpasteurized milk
Talk with your doctor about taking prescription or over-the-counter drugs with you on your trip in case you get sick.
Prevent bug bites
Bugs (like mosquitoes, ticks, and fleas) can spread a number of diseases in Djibouti. Many of these diseases cannot be prevented with a vaccine or medicine. You can reduce your risk by taking steps to prevent bug bites.
What can I do to prevent bug bites?
- Cover exposed skin by wearing long-sleeved shirts, long pants, and hats.
- Use an appropriate insect repellent (see below) .
- Use permethrin-treated clothing and gear (such as boots, pants, socks, and tents). Do not use permethrin directly on skin.
- Stay and sleep in air-conditioned or screened rooms.
- Use a bed net if the area where you are sleeping is exposed to the outdoors.
What type of insect repellent should I use?
- FOR PROTECTION AGAINST TICKS AND MOSQUITOES: Use a repellent that contains 20% or more DEET for protection that lasts up to several hours.
- FOR PROTECTION AGAINST MOSQUITOES ONLY: Products with one of the following active ingredients can also help prevent mosquito bites. Higher percentages of active ingredient provide longer protection.
- Picaridin (also known as KBR 3023, Bayrepel, and icaridin)
- Oil of lemon eucalyptus (OLE) or PMD
- Always use insect repellent as directed.
What should I do if I am bitten by bugs?
- Avoid scratching bug bites, and apply hydrocortisone cream or calamine lotion to reduce the itching.
- Check your entire body for ticks after outdoor activity. Be sure to remove ticks
What can I do to avoid bed bugs?
Although bed bugs do not carry disease, they are an annoyance. See our information page about avoiding bug bites for some easy tips to avoid them. For more information on bed bugs, see Bed Bugs. For more detailed information on avoiding bug bites, see Avoid Bug Bites.
Stay safe outdoors
If your travel plans in Djibouti include outdoor activities, take these steps to stay safe and healthy during your trip.
- Stay alert to changing weather conditions and adjust your plans if conditions become unsafe.
- Prepare for activities by wearing the right clothes and packing protective items, such as bug spray, sunscreen, and a basic first aid kit.
- Consider learning basic first aid and CPR before travel. Bring a travel health kit with items appropriate for your activities.
- Heat-related illness, such as heat stroke, can be deadly. Eat and drink regularly, wear loose and lightweight clothing, and limit physical activity during high temperatures.
- If you are outside for many hours in heat, eat salty snacks and drink water to stay hydrated and replace salt lost through sweating.
- Protect yourself from UV radiation: use sunscreen with an SPF of at least 15, wear protective clothing, and seek shade during the hottest time of day (10 a.m.–4 p.m.).
- Be especially careful during summer months and at high elevation. Because sunlight reflects off snow, sand, and water, sun exposure may be increased during activities like skiing, swimming, and sailing.
- Very cold temperatures can be dangerous. Dress in layers and cover heads, hands, and feet properly if you are visiting a cold location.
Stay safe around water
- Swim only in designated swimming areas. Obey lifeguards and warning flags on beaches.
- Practice safe boating—follow all boating safety laws, do not drink alcohol if driving a boat, and always wear a life jacket.
- Do not dive into shallow water.
- Do not swim in freshwater in developing areas or where sanitation is poor.
- Avoid swallowing water when swimming. Untreated water can carry germs that make you sick.
- To prevent infections, wear shoes on beaches where there may be animal waste.
Schistosomiasis, a parasitic infection that can be spread in fresh water, is found in Djibouti. Avoid swimming in fresh, unchlorinated water, such as lakes, ponds, or rivers.
Keep away from animals
Most animals avoid people, but they may attack if they feel threatened, are protecting their young or territory, or if they are injured or ill. Animal bites and scratches can lead to serious diseases such as rabies.
Follow these tips to protect yourself:
- Do not touch or feed any animals you do not know.
- Do not allow animals to lick open wounds, and do not get animal saliva in your eyes or mouth.
- Avoid rodents and their urine and feces.
- Traveling pets should be supervised closely and not allowed to come in contact with local animals.
- If you wake in a room with a bat, seek medical care immediately. Bat bites may be hard to see.
All animals can pose a threat, but be extra careful around dogs, bats, monkeys, sea animals such as jellyfish, and snakes. If you are bitten or scratched by an animal, immediately:
- Wash the wound with soap and clean water.
- Go to a doctor right away.
- Tell your doctor about your injury when you get back to the United States.
Consider buying medical evacuation insurance. Rabies is a deadly disease that must be treated quickly, and treatment may not be available in some countries.
Reduce your exposure to germs
Follow these tips to avoid getting sick or spreading illness to others while traveling:
- Wash your hands often, especially before eating.
- If soap and water aren’t available, clean hands with hand sanitizer (containing at least 60% alcohol).
- Don’t touch your eyes, nose, or mouth. If you need to touch your face, make sure your hands are clean.
- Cover your mouth and nose with a tissue or your sleeve (not your hands) when coughing or sneezing.
- Try to avoid contact with people who are sick.
- If you are sick, stay home or in your hotel room, unless you need medical care.
Avoid sharing body fluids
Diseases can be spread through body fluids, such as saliva, blood, vomit, and semen.
- Use latex condoms correctly.
- Do not inject drugs.
- Limit alcohol consumption. People take more risks when intoxicated.
- Do not share needles or any devices that can break the skin. That includes needles for tattoos, piercings, and acupuncture.
- If you receive medical or dental care, make sure the equipment is disinfected or sanitized.
Know how to get medical care while traveling
Plan for how you will get health care during your trip, should the need arise:
- Carry a list of local doctors and hospitals at your destination.
- Review your health insurance plan to determine what medical services it would cover during your trip. Consider purchasing travel health and medical evacuation insurance.
- Carry a card that identifies, in the local language, your blood type, chronic conditions or serious allergies, and the generic names of any medications you take.
- Some prescription drugs may be illegal in other countries. Call the Djibouti embassy to verify that all of your prescription(s) are legal to bring with you.
- Bring all the medicines (including over-the-counter medicines) you think you might need during your trip, including extra in case of travel delays. Ask your doctor to help you get prescriptions filled early if you need to.
Many foreign hospitals and clinics are accredited by the Joint Commission International. A list of accredited facilities is available at their website (www.jointcommissioninternational.org).
In some countries, medicine (prescription and over-the-counter) may be substandard or counterfeit. Bring the medicines you will need from the United States to avoid having to buy them at your destination.
Malaria is a risk in Djibouti. Fill your malaria prescription before you leave and take enough with you for the entire length of your trip. Follow your doctor’s instructions for taking the pills; some need to be started before you leave.
Select safe transportation
Motor vehicle crashes are the #1 killer of healthy US citizens in foreign countries.
In many places cars, buses, large trucks, rickshaws, bikes, people on foot, and even animals share the same lanes of traffic, increasing the risk for crashes.
Be smart when you are traveling on foot.
- Use sidewalks and marked crosswalks.
- Pay attention to the traffic around you, especially in crowded areas.
- Remember, people on foot do not always have the right of way in other countries.
Choose a safe vehicle.
- Choose official taxis or public transportation, such as trains and buses.
- Ride only in cars that have seatbelts.
- Avoid overcrowded, overloaded, top-heavy buses and minivans.
- Avoid riding on motorcycles or motorbikes, especially motorbike taxis. (Many crashes are caused by inexperienced motorbike drivers.)
- Choose newer vehicles—they may have more safety features, such as airbags, and be more reliable.
- Choose larger vehicles, which may provide more protection in crashes.
Think about the driver.
- Do not drive after drinking alcohol or ride with someone who has been drinking.
- Consider hiring a licensed, trained driver familiar with the area.
- Arrange payment before departing.
Follow basic safety tips.
- Wear a seatbelt at all times.
- Sit in the back seat of cars and taxis.
- When on motorbikes or bicycles, always wear a helmet. (Bring a helmet from home, if needed.)
- Avoid driving at night; street lighting in certain parts of Djibouti may be poor.
- Do not use a cell phone or text while driving (illegal in many countries).
- Travel during daylight hours only, especially in rural areas.
- If you choose to drive a vehicle in Djibouti, learn the local traffic laws and have the proper paperwork.
- Get any driving permits and insurance you may need. Get an International Driving Permit (IDP). Carry the IDP and a US-issued driver’s license at all times.
- Check with your auto insurance policy’s international coverage, and get more coverage if needed. Make sure you have liability insurance.
- Avoid using local, unscheduled aircraft.
- If possible, fly on larger planes (more than 30 seats); larger airplanes are more likely to have regular safety inspections.
- Try to schedule flights during daylight hours and in good weather.
Medical Evacuation Insurance
If you are seriously injured, emergency care may not be available or may not meet US standards. Trauma care centers are uncommon outside urban areas. Having medical evacuation insurance can be helpful for these reasons.
Road Safety Overseas (Information from the US Department of State): Includes tips on driving in other countries, International Driving Permits, auto insurance, and other resources.
The Association for International Road Travel has country-specific Road Travel Reports available for most countries for a minimal fee.
Maintain personal security
Use the same common sense traveling overseas that you would at home, and always stay alert and aware of your surroundings.
Before you leave
- Research your destination(s), including local laws, customs, and culture.
- Monitor travel warnings and alerts and read travel tips from the US Department of State.
- Enroll in the Smart Traveler Enrollment Program (STEP).
- Leave a copy of your itinerary, contact information, credit cards, and passport with someone at home.
- Pack as light as possible, and leave at home any item you could not replace.
While at your destination(s)
- Carry contact information for the nearest US embassy or consulate.
- Carry a photocopy of your passport and entry stamp; leave the actual passport securely in your hotel.
- Follow all local laws and social customs.
- Do not wear expensive clothing or jewelry.
- Always keep hotel doors locked, and store valuables in secure areas.
- If possible, choose hotel rooms between the 2nd and 6th floors.
Healthy Travel Packing List
Use the Healthy Travel Packing List for Djibouti for a list of health-related items to consider packing for your trip. Talk to your doctor about which items are most important for you.
Why does CDC recommend packing these health-related items?
It’s best to be prepared to prevent and treat common illnesses and injuries. Some supplies and medicines may be difficult to find at your destination, may have different names, or may have different ingredients than what you normally use.
After Your Trip
If you are not feeling well after your trip, you may need to see a doctor. If you need help finding a travel medicine specialist, see Find a Clinic. Be sure to tell your doctor about your travel, including where you went and what you did on your trip. Also tell your doctor if you were bitten or scratched by an animal while traveling.
If your doctor prescribed antimalarial medicine for your trip, keep taking the rest of your pills after you return home. If you stop taking your medicine too soon, you could still get sick.
Malaria is always a serious disease and may be a deadly illness. If you become ill with a fever either while traveling in a malaria-risk area or after you return home (for up to 1 year), you should seek immediate medical attention and should tell the doctor about your travel history.
For more information on what to do if you are sick after your trip, see Getting Sick after Travel.
Djibouti Travel Health – The US State Department
U.S.- DJIBOUTI RELATIONS
The United States established consular representation in the former colony of French Somaliland in 1929. Formal diplomatic relations between the United States and Republic of Djibouti began in 1977, following independence from France. Djibouti is a republic with a parliament and executive branch led by the President, who is elected every five years. The National Assembly is the country’s legislature, consisting of 65 members, also elected every five years.
Djibouti is strategically located in the Horn of Africa and is a key U.S. partner on security, regional stability, and humanitarian efforts across the region. The Djiboutian government is supportive of U.S. interests. Djibouti hosts the only enduring U.S. military presence in Africa at Camp Lemonnier, established by formal agreement in 2003. A bilateral agreement with the Government of Djibouti also provides the United States with access to Djibouti’s port facilities and airport.
U.S. Assistance to Djibouti
The U.S. Agency for International Development’s (USAID) Food for Peace program maintains a warehouse for pre-positioned food assistance commodities in Djibouti, serving as a hub for rapid response in parts of Africa and Asia. International Broadcasting Bureau facilities in Djibouti transmit Arabic-language programming, and Voice of America Somali Service broadcasts to the Horn and the Arabian Peninsula.
Djibouti’s economic growth is hindered by a rapidly expanding workforce that is poorly matched to the economic needs of the country, resulting in high unemployment, and a lack of qualified applicants for jobs in certain sectors. Other obstacles to growth include high electricity costs, chronic water shortages, poor health indicators, food insecurity, and governance challenges. U.S. assistance supports education, health, workforce development, renewable energy, and civil society development.
U.S. assistance supports Ministry of Education efforts to improve the quality of primary schooling across the country. Education assistance supports training teachers, improving primary level reading, and increasing access to education, especially for girls.
U.S. health assistance focuses on HIV/AIDS prevention among key populations in Djibouti City, and along migratory paths and critical cross-border trade routes.
One of the key goals shared by the Governments of Djibouti and the United States is to increase employment in the Djiboutian workforce. The United States is focused on improving the quality of vocational workforce readiness programs, facilitating sustainable ties between vocational education centers and employment providers, and strengthening job placement and retention services.
The U.S. Embassy works closely with Djiboutian civil society organizations (CSOs) to improve their capacity to engage with the Government of Djibouti in order to deliver essential services to citizens. A key component of this assistance includes support to the management, financing, and operations of CSOs to improve their sustainability and impact.
Educational and cultural exchange programs cement people-to-people ties between the United States and Djibouti. Through the Young African Leaders Initiative (YALI), the International Visitors Leadership Program, the Fulbright Program, and English language programs, Djiboutian leaders and American experts are exchanging ideas and expertise on issues of mutual interest and developing leadership and skills training.
Under the Power Africa initiative, U.S. assistance focuses on improving the environment for private sector investment in renewable and traditional power generation, including specialized support to geothermal development.
Assistance through the Food for Peace program also responds to ongoing food insecurity concerns in rural Djibouti exacerbated each year by drought and climate change. The United Nations World Food Program is the United States’ largest food security partner in Djibouti, distributing approximately $4 million in food assistance and other services each year.
Bilateral Economic Relations
Djibouti is eligible for preferential trade benefits under the African Growth and Opportunity Act (AGOA). Djibouti hosts modern port facilities, which enable the growth of the logistics and services sector. Before 2035, Djibouti is expected to finish several major infrastructure projects including: a natural gas pipeline, a liquefaction plant, an export terminal, a geothermal plant, another multipurpose port, renewable energy projects, and what will be Africa’s largest free trade zone, the Djibouti International Free Trade Zone.
A new railroad connecting Djibouti City and Addis Ababa, Ethiopia began operations in early 2018. These projects are part of the Government of Djibouti’s ambitious plan to turn Djibouti into a major commercial and shipping hub for East Africa. U.S. exports to Djibouti include vegetable oil, wheat, machinery, and foodstuffs. U.S. imports typically transit Djibouti from origin countries farther inland such as Ethiopia. These imports include coffee, vegetables, perfumery, and cosmetics. Landlocked Ethiopia exports nearly 90 percent of its goods through Djibouti’s ports. The United States has signed a trade and investment framework agreement with the Common Market for Eastern and Southern Africa, of which Djibouti is a member.
Djibouti’s Membership in International Organizations
Djibouti is a member of the United Nations, International Monetary Fund, World Bank, World Trade Organization, Organization of Islamic Cooperation (OIC), Arab League, and Intergovernmental Authority on Development (IGAD), among other organizations.
Djibouti maintain an embassy in the United States at Suite 515, 1156 15th Street, NW, Washington, DC 20005, (tel. 202-331-0270).
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