However, the decision by the Saudi Arabian Government to improve its own port facilities at Jeddah and Ethiopia's decision to promote its port at Assab have, in recent years, decreased the volume of economic activity for the Port of Djibouti. Although rainfall is rare, it can be heavy. U.S. currency can be exchanged in Djibouti. Djibouti is free of many of Africa's diseases. Malaria, however, is prevalent.
Infected wounds are difficult to cure.
No immunizations are required for entry, but malaria suppressants are recommended. Be careful of food and drink. Although officials maintain that well water from the Ambouli Oasis is pure at the source, the city water system is prone to multiple breaks and penetration that make tap water unsafe. Drink bottled mineral water, available in all local hotels and restaurants. Djibouti has few doctors, and the one civilian hospital has less than adequate facilities.