Eritrea Country Report
Eritrea's ongoing rapprochement with Ethiopia significantly decreases war risks. Following the lifting of UN sanctions on Eritrea in November 2018, the Eritrean government will likely enact only minimal domestic reforms (such as increasing national service salaries, reducing the size of the military, and redirecting affected conscripts into civilian work). The sanctions relief will likely facilitate greater international investment in Eritrea, increasing the state's access to funds and foreign currency, in turn decreasing the risk of it seeking revenue through irregular tax demands and arbitrary regulatory fines against investors. Eritrea's strategic location has helped it emerge from years of diplomatic isolation, with close ties developing with China, Saudi Arabia, and the UAE, and likely the US. Rare protests in Asmara highlight increased risks of sporadic unrest.
Eritrea's strategic location and operational environment offer tremendous potential in areas such as mining, tourism, and fishing. However, the absence of a clearly defined legal system, poor infrastructure, abundant red tape, and scarce energy makes operating difficult. Foreigners continue to face severe restrictions to their movements, complicating daily activities. Corruption is also a growing problem undermining private-sector activity. Eritrea's highly centralised government is considered more of a hindrance than a facilitator to doing business, despite its stated commitment to attracting foreign investment. Allegations of forced labour pose reputational risks for foreign companies.
Sustained terrorism risks are minimal, and threats from Ethiopia-based groups have further decreased following the July peace declaration, but low-level attacks by armed opposition groups pose a threat to foreign companies. However, there have been no reported such incidents since March 2015 when the Eritrean National Salvation Front (ENSF) vandalised equipment at the Bisha mine and destroyed trucks transporting cargo to Massawa port. In eastern Eritrea there is a low risk of small-scale attacks by the ENSF and the Red Sea Afar Democratic Organisation (RSADO) against foreign and military assets.
Interstate war risks with Ethiopia have significantly decreased following the July peace declaration and the countries' subsequent (likely partial) withdrawals of troops from along the border. Neither side is likely to provoke fighting despite unresolved issues relating to trade terms, border demarcation, and communities to be left on the 'wrong side'. Sudan sent troops to the Eritrean border following media claims, denied by Asmara, that Egypt had a military presence in Eritrea. The UAE's military base in Eritrea's Assab port city raises risks of shelling by Yemen's Houthi rebels.
Vaccines required to enter the country
Yellow fever: A yellow fever vaccination certificate is required for travelers arriving from countries with risk of yellow fever transmission. A single dose of YF vaccine is sufficient to confer sustained life-long immunity against the disease; it should be taken ten days in advance to be fully effective.
Vaccines recommended for all travelers
Routine vaccinations: Consult your doctor to ensure all routine vaccinations - such as for diphtheria, tetanus, polio, tuberculosis, influenza, measles, mumps, pertussis, rubella, varicella, etc. - are up to date (include booster shots if necessary).
Vaccines recommended for most travelers
Hepatitis A: The vaccine is given in two doses, six months apart, and is nearly 100 percent effective. The WHO recommends the vaccine be integrated into national routine immunization schedules for children aged one year or older.
Typhoid fever: The typhoid fever vaccine can be administered via injection (administered in one dose) or orally (four doses). The vaccine is only 50-80 percent effective, so travelers to areas with a risk of exposure to typhoid fever, a bacterial disease, should also take hygienic precautions (e.g. drink only bottled water, avoid undercooked foods, wash hands regularly, etc.). Children can be given the shot beginning at two years of age (six for the oral vaccine).
Vaccines recommended for some travelers
Hepatitis B: The WHO recommends that all infants receive their first dose of vaccine as soon as possible after birth, preferably within 24 hours. The birth dose should be followed by two or three doses to complete the primary series. Routine booster doses are not routinely recommended for any age group.
Malaria: There is currently no malaria vaccine. However, various antimalarial prophylactics are available by prescription and can reduce risk of infection by up to 90 percent. Different medications are prescribed depending on the risk level and the strains of the virus present in the destination. Antimalarial tablets need to be taken throughout the trip to be effective and may need to be taken for as long as four weeks following the trip.
Meningococcal meningitis: This is recommended for travel to the "meningitis belt" area of the country during the dry season (December to June). There are several types of meningococcal vaccines. None offer full immunity and some require periodic booster shots. Consult your doctor to determine which is best for you depending on medical history and travel plans.
Rabies: The rabies vaccination is typically only recommended for travel to remote areas and if the traveler will be at high risk of exposure (e.g. undertaking activities that will bring them into contact with dogs, cats, bats, or other mammals). The vaccination is administered in three doses over a three-to-four week period. Post exposure prophylaxis is also available and should be administered as soon as possible following contact with an animal suspected of being infected (e.g. bites and scratches).
Eritrea is situated along the East African Rift, a highly active seismic zone. There is a risk of earthquakes and volcanic activity; the Nabro volcano last erupted in 2011.
Furthermore, there is a heightened risk of flooding during the rainy seasons (January to February and June to August), including along wadis (normally-dry riverbeds). There is also a risk of landslides in the west and in regions of higher elevation from May to August.
The climate along the coast is arid. Heading west to the central highlands, conditions become cooler and more humid. Winters are mild and summers very hot along the Red Sea coast. Precipitation is heaviest in the highlands (lighter rain in March-April, heavier rain from late June until August with the risk of flooding).
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