Djibouti

Djibouti's climate is very hot and arid, especially in the summer. The summer heat is moderated, however, by a sustained breeze in the coastal city of Djibouti. From October to April the temperature is cooler, with occasional rain. Cyclones from the Indian Ocean create heavy rains and flash flooding.

Natural hazards include earthquakes and droughts. Occasional cyclonic disturbances from the Indian Ocean bring heavy rains and flash floods. Travelers should be aware of the threat of terrorism. Although there have been no attacks in recent years, there have been threats. Attacks could be indiscriminate, and would likely occur in the few places frequented by foreigners. Visitors should be aware of the risk of banditry if traveling outside the capital city.

Health insurance is advisable. Doctors and hospitals may expect immediate cash payment for any medical treatment. A yellow fever vaccination certificate is required from travelers over one year of age coming from infected areas. Cholera is also a serious risk 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. Typhoid immunization is usually advised. Malaria risk, predominantly in the malignant falciparum form, exists year round. Resistance to chloroquine has been reported. Mefloquine, doxycycline or atovaquone/proguanil are recommended.