Excessive speed, unpredictable local driving habits, and the lack of basic safety equipment on many vehicles are daily hazards on Ethiopian roads. In addition, vehicle travel after dark outside Addis Ababa and other cities is dangerous due to the possibility of armed robbery. Airport security procedures are thorough, however, there have been occasional hijackings of domestic and international flights carrying American citizens. A recent flight from Addis Ababa to Kenya was hijacked and crashed, killing 125 passengers, including two Americans. Emergency assistance is limited.
Travelers generally bring their own supplies of prescription drugs and preventive medicines.
Doctors and hospitals usually expect immediate cash payment for services. U.S. medical insurance is not always valid outside the United States. Travelers have found supplemental medical insurance with specific overseas coverage and medical evacuation provisions to be useful. There have been occasional reports of thieves snatching jewelry. Armed banditry can occur on roads outside major towns or cities and may be accompanied by violence.