The Distraction & Fatigue Thematic Report of the European Survey of Road Users’ Safety Attitudes (ESRA) has been published with the active contribution of NTUA, containing a wealth of information on road safety in 39 countries across Europe, America and Asia-Oceania, based on the ESRA3 survey. This Thematic ESRA3 Report concerns distraction and fatigue in traffic. Results on distraction focus on the use of a mobile phone while driving a car, while only results for car drivers are included for fatigued driving. The report also includes comparisons among the regions as well as results by age and gender group within each region, by country, and the identification of factors that influence the self-declared behaviour of talking on a handheld mobile phone while driving a car and driving a car while fatigued.