The first U.S. Ambassador to the Republic of Djibouti arrived in October 1980. Visas must be obtained, prior to arrival, from either a Djiboutian or a French Embassy. 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.
A yellow fever immunization is required for entry, and malaria suppressants are recommended. Drink boiled water or bottled mineral water, available in all local hotels and restaurants. Djibouti has few doctors, and the one civilian hospital has less than adequate facilities. Local taxis and buses in Djibouti City are plentiful. Most roads in the republic are merely tracks, often passable only with four-wheel drive.