The mobile phone is symbolic of ‘distraction in traffic’. But apart from mobile phone calls, texting, or listening to music, many drivers, cyclists and pedestrians are occupied with all sorts of other activities that may distract them. Examples are: operating the navigation system, eating, drinking, talking to passengers or daydreaming.

Driving under the influence of drugs or impairing medicines reduces fitness to drive[i] and increases crash risk. Drugs have a numbing, stimulating or mind-altering effect on the brain, or a combination of these effects, which impair traffic task performance. For drug use in traffic, we (unfortunately) have to rely on research dating back to 2011.

Driver fatigue is estimated to be a (contributing) factor in 15 to 20% of crashes, but estimates in individual studies vary widely. Drivers who are tired are less attentive and react less quickly and less adequately than drivers who are not tired. They also get irritated and frustrated more easily.

A bicycle helmet is intended to protect cyclists against head and brain injuries when they are involved in crashes. The helmet does not prevent bicycle crashes (see the SWOV fact sheet Cyclists for general bicycle safety measures). International research shows that in case of a crash helmeted cyclists are 60% less likely to sustain serious head/brain injuries and 70% less likely to sustain fatal head/brain injuries than cyclists not wearing a helmet.