Working Conditions Research Articles

Polish infection control nurses’ burnout in the context of cooperation of different hospital professionals during COVID-19 pandemic

BackgroundsInfection control nurses’ job are crucial for patient and healthcare workers safety. However, effective infections prevention is based on the interdisciplinary team work, involving almost all hospital employees professionals. Difficulties in cooperation in such a team, especially prolonged ones, as well as crisis situations, may cause burnout. The aim of the study was to determine burnout among infection control nurses working during the COVID-19 pandemic in the context of difficulties in cooperation with different professionals working in hospitals.MethodsThe observational study was conducted between May and September 2021, using an online survey questionnaire consisting of two parts: describing difficulties in ICNs cooperation with different hospital professionals and Maslach Inventory Burnout scale, describing emotional exhaustion (EE), depersonalization (DP) and personal accomplishment rates (PA). Correctly completed online surveys were obtained from 177 participants.ResultsMost of the respondents (176 of 177) were women, working in public hospitals (81.48%). All respondents had considerable experience in work as nurses - the median was 30 years. However, the median experience in the ICNs position was 12 years. Median age of respondents was 51 years. The median level of EE was 31.0, w ith the range 23.0 to 39.0. For DP it was 5.0, with the range 3.0 and 11.5, while for PA – 24.0 (19.0–29.0). The highest values of EE were observed in the context of high level of difficulties with cooperation with management – the median was 36.0. DP was lowest among nurses declaring the lowest difficulties in cooperation with doctors. For PA the lowest level was observed in the group declaring high difficulties in the cooperation with doctors – median 22.0, with range 14.0–29.0.ConclusionsThe surveyed ICNs had higher rates of EE and PA than nurses working with patients, both before and during the pandemic. The level of burnout found in the ICN study group reached a level correlating in other studies with the intention to quit the job. The obtained results indicate the need to include effective training in the skills of working in multidisciplinary teams and the art of communication and achieving goals by ICNs.

Air rage from the sharp end: cabin crew perspectives on disruptive passenger behaviour in Europe and its impact on occupational safety and well-being

Disruptive passenger behaviour (DPB) incidents spiked during the COVID-19 pandemic period, compromising the safety of commercial flights on a daily basis. This qualitative semi-structured interview study examined the perceived triggering factors and motivations for DPB and the subsequent impact of DPB upon cabin crew well-being and safety. Twenty-four European cabin crew disclosed experiences, subjective observations of perpetrator traits, assessment of DPB development and information regarding their well-being and perceived safety. Thematic analysis revealed that the perceived frequency of DPB had increased, driven by an accumulation of pandemic-related factors – such as enforcing mask wearing amongst intoxicated passengers. DPB was found to decrease resilience and spur maladaptive coping strategies in crew. Suggested enhancements to current DPB mitigation consisted of stricter punishment for DPB as a deterrent, alcohol bans and higher quality training. These findings can inform decision-makers’ efforts to support cabin crew well-being and create safer cabin workplaces in the future.

Optimization of water supply parameters for enhanced thermal uniformity in aquaculture ponds under varied working conditions: An experimental study

Aquaculture ponds are critical for the successful rearing of fish larvae, and achieving consistent temperature distribution within these systems is essential for optimal growth conditions. This study explores methods for precise temperature regulation on both the water and atmospheric sides of the pond ecosystem. Based on the original design, systematic changes were made to parameters such as water supply pipe layout, bend angles, perforation rates, and working conditions. Metrics including average temperature, average temperature difference, and extreme temperature difference were utilized to extensively discuss the impacts of these parameters. Through this, temperature distributions across five distinct water supply layouts were analyzed, and the impacts of four different bending angles and perforation rates were evaluated using optimized configurations. Our findings demonstrate that a water supply layout radius of 2000 mm, coupled with a 60° bending angle and a 25 % perforation rate, increased overall temperature uniformity in the pond by 5 %. Additionally, seasonal variations significantly impact temperature distribution in ponds, particularly with different extreme temperature differences observed in winter and summer. Compared to the transitional season and summer, the average temperature difference in the pond during winter decreased by 30 % and 45 %, respectively. It was further revealed that winter conditions naturally yield more uniform water-side temperatures, making seasonal fluctuations irrelevant in determining optimal perforation rates. After the implementation of a water agitator, the average extreme temperature difference decreased from 0.6 K to 0.52 K. In the shallow water layer, the water agitator reduced the extreme temperature difference in the pond by 26 %. The use of water agitators has enhanced thermal uniformity in ponds, thereby improving the growth environment for fish larvae and providing valuable insights for environmental management in aquaculture.

Performance enhancement on the three-port gas pressure dividing device by flow channel optimization of wave rotor

Wave-rotor-based gas pressure dividing (GPD) is a potential technology that can synchronously conduct gas compression and expansion. This study, proposes a novel curving flow channel of wave rotor (C-FCWR) for the three-port GPD device, aiming to settle the technical problem of traditional width-constant straight flow channels (WS-FCWR). A series of comparative hydrodynamics and thermodynamic analyses are conducted. For the optimized C-FCWR with a forward-curving angle of +10°, the flow vortex generation in the medium-pressure (MP) and low-pressure (LP) ports is rather limited, the shaft power is as low as -0.45 kW, the shock wave efficiency is beyond 99.8 %, and the expansion depth remains above 26.4 K, proving a great technical advantage. For the application feasibility of the optimized C-FCWR to working conditions, a compression ratio below 1.2 and an expansion ratio of 1.8 are conducive to the overall performance of the GPD device.

Dignity at Work: A Critical Conceptual Framework and Research Agenda

This article provides a narrative review of the literature on dignity at work with a focus on social justice perspectives, which informs the development of a conceptual framework to guide future theory, research, practice, and public policies. Dignity at work encompasses earned and inherent dignity; the capacity for autonomous action; the affirmation of diversity; access to decent and humane work conditions; freedom to organize and resist; and opportunities for contribution, meaningfulness, and achievement. The literature review highlighted the diverse disciplinary and conceptual frameworks that inform how dignity at work is defined and understood along with a review of relevant empirical literature exploring the nature, antecedents, and outcomes of dignity at work. We presented a critical conceptual model that includes macro-level, work-based and relational conditions, systems of oppression, and resistance as the context for understanding dignity at work and its outcomes. The paper concluded with directions for future research and implications for practice and public policy.

Prevalence and factors influencing long COVID among primary healthcare workers after epidemic control policy adjustment in Jiangsu, China

ObjectiveThe persistent symptoms arising from COVID-19 infection pose a substantial threat to patients’ health, carrying significant implications. Amidst the evolving COVID-19 control strategies in China, healthcare workers (HCWs) endure considerable stress. This study aims to evaluate the prevalence of long COVID infections and their influencing factors among primary HCWs after epidemic control policy adjustment in Jiangsu.MethodsA self-designed questionnaire was administered through on-site surveys among primary HCWs in five counties and districts within Jiangsu Province from July 4 to July 20, 2023. Logistic regression analysis was employed to identify factors associated with long COVID.ResultsThe prevalence of long COVID among primary HCWs stood at 12.61%, with a 95% confidence interval (CI) of 11.67-13.55%. Among those affected, the most common long COVID symptoms were hypomnesia (4.90%, 95%CI: 4.29-5.51%), sleep difficulties (2.73%, 95%CI: 2.27-3.19%), fatigue (2.35%, 95%CI: 1.92-2.78%), disturbances in the reproductive system (1.93%, 95%CI: 1.54-2.32%), hair loss (1.85%, 95%CI: 1.47-2.23%), and myalgia/arthralgia (1.51%, 95%CI: 1.16-1.86%). Multivariate logistic regression revealed that older age groups (30–45 years (adjusted odds ratio (aOR) = 1.93, 95%CI: 1.44–2.58), 45–60 years (aOR = 2.82, 95%CI: 2.07–3.84)), females (aOR = 1.26, 95%CI: 1.03–1.55), and higher work stress (high stress (aOR = 1.52, 95%CI: 1.24–1.86), extremely high stress (aOR = 1.37, 95%CI: 1.03–1.82)) were more prone to long COVID. Conversely, individuals with educational attainment below the bachelor’s degree (aOR = 0.67, 95%CI: 0.55–0.82) and those who received four or more doses of the COVID-19 vaccine (aOR = 0.55, 95%CI: 0.33–0.92) were at a reduced risk.ConclusionThis study investigates the prevalence of long COVID among primary HCWs and identifies key influencing factors. These findings are crucial for assisting in the early identification of COVID-19 patients at risk for long-term complications, developing targeted interventions aimed at optimizing healthcare resource allocation and enhancing the work conditions and quality of life of HCWs. To mitigate the prevalence of long COVID, healthcare providers and local authorities should implement effective measures, such as optimizing work-rest schedules and actively advocating for vaccination.

Psychosocial workplace safety in mental health services - Commentary and considerations to improve safety.

Psychosocially unsafe workplaces are related to burnout, especially amongst trainees and psychiatrists. Burgeoning research on psychosocial workplace safety indicates the importance of organisational governance to reduce adverse professional, and consequently patient, outcomes in healthcare by balancing job demands and resources. We provide a brief commentary on the relevance of the concept of the Psychosocial Safety Climate model for mental health services and healthcare workers, and considerations for action. Based on the Extended Job Demand-Resource model, the Psychosocial Safety Climate model has been developed and validated in community and healthcare environments. Psychosocial safety is also an Australian workplace safety requirement. An important direction to improve working conditions, reduce adverse outcomes, and improve recruitment and retention of healthcare workers, may be to adopt and formalise psychosocial workplace safety as a key performance indicator of equal importance to productivity for mental healthcare services.

The Effectiveness of Using Simulation Technologies in the Study of Therapeutic Disciplines at the Faculty of Medicine: the Attitude of Students

To assess the effectiveness of simulation technologies during classes, an anonymous survey of 4th year students of the Faculty of Medicine using Google forms was conducted. The students noted the improvement of practical skills, the convenience of studying and memorizing the symptoms of diseases of internal organs, and the improvement of knowledge on providing assistance in emergency situations. The use of simulation technologies in teaching therapy brings students closer to real working conditions, which significantly increases their motivation to study and contributes to high-quality practical training.

The impact of vaccine hesitancy on psychological impairment among healthcare workers in a Total Worker Health© approach

The impact of vaccine hesitancy on psychological impairment among healthcare workers in a Total Worker Health© approach

How Advocates Can Use the Revised Circular A-4 Means to Push for Stronger Worker and Environmental Protections.

For public interest advocates engaged on issues of worker health and safety and environmental protections, regulatory cost-benefit analysis has long been seen as an obstacle to meaningful progress. In November 2023, the Biden administration overhauled Circular A-4, which provides guidance to agencies on how to perform cost-benefit analyses for their rules. The reforms seek to make cost-benefit analysis less biased against worker safety, public health, environmental, and other protective safeguards. As such, the new version of Circular A-4 offers important new levers to agencies to justify more stringent protections. By extension, those in the public interest community can use agency implementation of the new Circular A-4 as part of their advocacy efforts for specific rules they are tracking. This article seeks to support this tactic by providing a roadmap for advocates on how to incorporate into their comments critiques of agencies' cost-benefit analyses based on the Circular A-4 revisions.

Healthcare Workers and Patient Loss During the COVID-19 Pandemic: Interaction Between Grief, Viral Anxiety, and Depression.

Coronavirus disease-2019 (COVID-19) had a significant impact on the mental health of healthcare workers. Related assessments should be included in plans for future pandemics. We investigated the connections between grief, viral anxiety, depression, and preoccupation in the context of COVID-19 in healthcare workers, to determine which factors will need to be incorporated. A total of 267 healthcare workers who had experienced the death of at least one patient during the COVID-19 pandemic were asked to respond to questionnaires assessing grief, viral anxiety, depression, loneliness, and preoccupation with COVID-19, based on their emotional state during the 2 weeks immediately after the death. Multivariate linear regression, causal mediation analysis and structural equation modeling were used to examine the psychological processes underlying grief. Linear regression showed that viral anxiety (β=0.287, 95% confidence interval [CI]: 0.235-0.338, p<0.001) and depression (β= 0.157, 95% CI: 0.073-0.241, p<0.001) had independent associations with preoccupation with COVID-19. Causal mediation analysis revealed that both viral anxiety (proportion mediated: 0.51, 95% CI: 0.37-0.66, p<0.001) and depression (proportion mediated: 0.77, 95% CI: 0.50-1.08, p<0.001) were mediators between grief and preoccupation with COVID-19. In a structural equation model, viral anxiety and depression mediated most of the effects of grief on preoccupation with COVID-19, and loneliness was a mediator between grief and depression. Contingency plans for the next pandemic are being formulated. Effective measures to protect the mental health of healthcare workers should be included, and such measures should consist of assessments for grief, viral anxiety, depression, and loneliness.

Ergonomic challenges of mortuary attendants in Ghana: an exploratory study

Objective. Mortuary attendants in Ghana face various occupational health and safety hazards, including ergonomic and psychosocial factors, which can impact both their well-being and the quality of service provided. However, there is limited knowledge about the specific ergonomic hazards they encounter. This study aims to investigate and understand these ergonomic hazards at selected hospital mortuaries in Ghana. Methods. The study used a qualitative approach to investigate the experiences of 19 mortuary attendants, selected through purposive sampling. Semi-structured interviews were conducted and recorded digitally, and focused on participants’ demographics, work experiences, challenges and coping strategies. The collected data were transcribed verbatim and analyzed thematically. Results. The study found that mortuary attendants face ergonomic hazards, leading to physical discomfort, sleep problems and the need for sick leave and self-medication. Poor working conditions were a major risk factor. Conclusion. The study recommends the immediate inclusion of fundamental occupational health and safety practices into the informal apprenticeship training for mortuary attendants. Additionally, the study underscores the importance of providing necessary equipment to mortuary attendants to reduce or eliminate ergonomic hazards in their work environments.

Organizational change: challenges for workplace psychosocial risks and employee mental health

BackgroundConstant organizational change is the norm in many companies today. At present, evidence on the impact of organizational change on psychosocial risks at work and employee mental health is limited. We investigate organizational change and its association with psychosocial risks and mental health in three consecutive surveys covering 12 years.MethodsThe study was based on data from three cross-sectional waves (2006, 2012, 2018) of the German BIBB/BAuA Employment Survey, comprising 53,295 employees. Four change indicators (i.e., introduction of new software, changes in goods and services produced/provided, downsizing and restructuring), five indicators of psychosocial risks (i.e., time pressure, interruptions, multitasking, working to the limits of capability, and working very quickly) and four mental health indicators (i.e., sleep disturbances, nervousness, tiredness and depressive symptoms) were investigated. We applied Poisson regression analysis to examine associations between organizational change, psychosocial risks, and mental health.ResultsAccording to the pooled analysis of all three waves, the majority of employees reported having experienced at least one organizational change, such as downsizing or restructuring, between 2006 and 2018. Organizational change was negatively associated with psychosocial risks (e.g., working to the limits of one’s capability, PR: 1.66; 95% CI: 1.48–1.86) and with employee mental health (PR: 1.82; 95% CI: 1.61–2.04).ConclusionsOrganizational change is omnipresent in the modern economy. Our research suggests that transformation processes in organizations can bear risks to employees’ health as psychosocial risks increase. Therefore, companies planning organizational change should accompany such processes with occupational health and safety measures.

Analysis of forming mechanism and influencing factors of thermoacoustic plate end temperature difference

In order to explore the formation mechanism and influencing factors of the temperature difference between two ends of the plate stack, an expression of the temperature change of the stack with time was established based on the two-dimensional heat conduction equation. Based on this, the finite element model of heat transfer between a single thermoacoustic plate stack and the gas above it is established in Ansys, and the temperature of the plate stack is solved. When the sound field is constant, the variation law of the temperature of the stack with the working time and space is obtained, and the formation mechanism of the temperature difference between the two ends of the plate stack is revealed. From the calculation results, it is found that the net heat transfer between the gas and the plate stack is mainly reflected in the two ends of the plate stack, and the contribution of the air mass in the middle part is mainly the relay heat transfer. In the process of working, part of the sound work is converted into the internal energy of the air mass, which makes the gas temperature on the surface of the plate rise as a whole. The working frequency, stack length and stack thermal conductivity are taken as the influencing factors. When no load is added, the variation of the temperature of the high and low end of the stack with the working time under different working conditions is analyzed. And the theory of series between short plates is put forward to explain the formation mechanism of large temperature difference between the two ends of the plates. In order to further reduce the cooling temperature of thermoacoustic refrigerator, a new research method and exploration direction are proposed.

Survivors of Modern Slavery and Their Digital Inclusion: A UK Qualitative Study from the Perspective of Survivors and Organizations That Support Them

ABSTRACT This paper considers how to better support the social inclusion of survivors of modern slavery using digital technologies. As such, it explores the under-researched views and experiences of survivors themselves and representatives of civil society organizations supporting them, in relation to how they access and use digital technologies in the UK. Semi-structured interviews were conducted with 11 survivors and 18 organization representatives, and the data collected was thematically analyzed. Key findings suggest that, to support survivors’ (re)integration, it is essential to provide them with access to technology and the digital skills to be safe and pursue opportunities online. However, while survivors value digital technologies to access support and undertake everyday activities, funding for the provision of such technologies is both limited and inconsistent. Meanwhile, in terms of digital skills and safety training, balance between individualized, tailor-made support and formal training is often lacking. Bridging research on survivors of modern slavery with broader digital inequalities work, this paper argues that digital access and digital literacy are crucial to survivors’ material and socio-cultural (re)integration in the UK. Recommendations are provided for research, practice, and policy aimed at facilitating the social and digital inclusion of survivors.

The Promotion and Communication of Occupational Health and Safety at PT Pertamina International (KPI) Refinery Unit Balongan - Indramayu

The Promotion and Communication of Occupational Health and Safety at PT Pertamina International (KPI) Refinery Unit Balongan - Indramayu

Revisiting the Occupational Health Impact of Right-to-Work Laws: A Research Note.

This research note reevaluates the occupational health impact of right-to-work (RTW) legislation, incorporating recent developments in causal inference techniques. In an era marked by an uptick in the adoption of anti-union legislation and increases in workplace fatalities and injuries, it is particularly urgent to examine the extent to which RTW laws affect workers' health. Using a state-year-level dataset spanning 28 years and collected from multiple data sources, we apply an innovative generalized synthetic control method to overcome several limitations of the traditional two-way fixed-effects approach to examine the effect of RTW laws on occupational fatal injuries as well as various other health outcomes. Robustness checks were conducted using a wide range of alternative methods for two-way fixed-effects adjustments. In contrast with findings from previous studies, we found null effects on occupational fatal injuries, as well as on all other health outcomes. Overall, our results indicate that findings from previous studies are based on very thin empirical evidence, with potentially underestimated standard errors and unobserved confounders. Our results highlight the importance of revisiting research questions using updated methodological tools.

Escherichia coli from healthy farm animals: Antimicrobial resistance, resistance genes andmobile genetic elements.

The use of antibiotics in agriculture and subsequent environmental pollution are associated with the emergence and spread of multidrug-resistant (MDR) bacteria including Escherichia coli. The aim of this study was to detect antimicrobial resistance, resistance genes and mobile genetic elements of 72 E. coli strains isolated from faeces of healthy farm animals. Disk diffusion test showed resistance to ampicillin (59.7%), tetracycline (48.6%), chloramphenicol (16.7%), cefoperazone and ceftriaxone (13.9%), cefepime and aztreonam (12.5%), norfloxacin and ciprofloxacin (8.3%), levofloxacin (6.9%), gentamicin and amikacin (2.8%) among the studied strains. Antibiotic resistance genes (ARGs) were detected by polymerase chain reaction: the prevalence of blaTEM was the highest (59.7% of all strains), followed by tetA (30.6%), blaCTX-M (11.1%), catA1 (9.7%), less than 5% strains contained blaSHV, cmlA, floR, qnrB, qnrS, tetM. 26.4% of E. coli strains had a MDR phenotype. MDR E. coli more often contained class 1 integrons, bacteriophages, conjugative F-like plasmids, than non-MDR strains. ARGs were successfully transferred from faecalE. colistrains into theE. coliNissle 1917 N4i strain by conjugation. Conjugation frequencies varied from (1.0 ± 0.1) * 10-5 to (7.9 ± 2.6) * 10-4 per recipient. Monitoring mobile genetic elements of E. coli for antibiotic resistance is important for farm animal health, as well as for public health and food safety.

Machine Learning and Imputation to Characterize Human Norovirus Genotype Susceptibility to Sodium Hypochlorite.

Human norovirus (HuNoV) is the leading cause of foodborne illness in the developed world and a major contributor to gastroenteritis globally. Its low infectious dose and environmental persistence necessitate effective disinfection protocols. Sodium hypochlorite (NaOCl) bleach is a widely used disinfectant for controlling HuNoV transmission via contaminated fomites. This study aimed to evaluate the susceptibility of HuNoV genotypes (n = 11) from genogroups I, II, and IV to NaOCl in suspension. HuNoV was incubated for 1 and 5min in diethyl pyrocarbonate (DEPC) treated water containing 50ppm, 100ppm, or 150ppm NaOCl, buffered to maintain a pH between 7.0 and 7.5. Neutralization was achieved by a tenfold dilution into 100% fetal bovine serum. RNase pre-treatment followed by RT-qPCR was used to distinguish between infectious and non-infectious HuNoV. Statistical methods, including imputation, machine learning, and generalized linear models, were applied to process and analyze the data. Results showed that NaOCl reduced viral loads across all genotypes, though efficacy varied. Genotypes GI.1, GII.4 New Orleans, and GII.4 Sydney were the least susceptible, while GII.6 and GII.13 were the most susceptible. All NaOCl concentrations above 0ppm were statistically indistinguishable, and exposure duration did not significantly affect HuNoV reduction, suggesting rapid inactivation at effective concentrations. For instance, some genotypes were completely inactivated within 1min, rendering extended exposure unnecessary, while other genotypes maintained the initial concentration at both 1 and 5min, indicating a need for longer contact times. These findings underscore the critical role of HuNoV genotype selection in testing disinfection protocols and optimizing NaOCl concentrations. Understanding HuNoV susceptibility to NaOCl bleach informs better disinfection strategies, aiding public health and food safety authorities in reducing HuNoV transmission and outbreaks.

Real-time estimation of immunological responses against emerging SARS-CoV-2 variants in the UK: a mathematical modelling study.

The emergence of SARS-CoV-2 variants and COVID-19 vaccination have resulted in complex exposure histories. Rapid assessment of the effects of these exposures on neutralising antibodies against SARS-CoV-2 infection is crucial for informing vaccine strategy and epidemic management. We aimed to investigate heterogeneity in individual-level and population-level antibody kinetics to emerging variants by previous SARS-CoV-2 exposure history, to examine implications for real-time estimation, and to examine the effects of vaccine-campaign timing. Our Bayesian hierarchical model of antibody kinetics estimated neutralising-antibody trajectories against a panel of SARS-CoV-2 variants quantified with a live virus microneutralisation assay and informed by individual-level COVID-19 vaccination and SARS-CoV-2 infection histories. Antibody titre trajectories were modelled with a piecewise linear function that depended on the key biological quantities of an initial titre value, time the peak titre is reached, set-point time, and corresponding rates of increase and decrease for gradients between two timing parameters. All process parameters were estimated at both the individual level and the population level. We analysed data from participants in the University College London Hospitals-Francis Crick Institute Legacy study cohort (NCT04750356) who underwent surveillance for SARS-CoV-2 either through asymptomatic mandatory occupational health screening once per week between April 1, 2020, and May 31, 2022, or symptom-based testing between April 1, 2020, and Feb 1, 2023. People included in the Legacy study were either Crick employees or health-care workers at three London hospitals, older than 18 years, and gave written informed consent. Legacy excluded people who were unable or unwilling to give informed consent and those not employed by a qualifying institution. We segmented data to include vaccination events occurring up to 150 days before the emergence of three variants of concern: delta, BA.2, and XBB 1.5. We split the data for each wave into two categories: real-time and retrospective. The real-time dataset contained neutralising-antibody titres collected up to the date of emergence in each wave; the retrospective dataset contained all samples until the next SARS-CoV-2 exposure of each individual, whether vaccination or infection. We included data from 335 participants in the delta wave analysis, 223 (67%) of whom were female and 112 (33%) of whom were male (median age 40 years, IQR 22-58); data from 385 participants in the BA.2 wave analysis, 271 (70%) of whom were female and 114 (30%) of whom were male (41 years, 22-60); and data from 248 participants in the XBB 1.5 wave analysis, 191 (77%) of whom were female, 56 (23%) of whom were male, and one (<1%) of whom preferred not to say (40 years, 21-59). Overall, we included 968 exposures (vaccinations) across 1895 serum samples in the model. For the delta wave, we estimated peak titre values as 490·0 IC50 (95% credible interval 224·3-1515·9) for people with no previous infection and as 702·4 IC50 (300·8-2322·7) for people with a previous infection before omicron; the delta wave did not include people with a previous omicron infection. For the BA.2 wave, we estimated peak titre values as 858·1 IC50 (689·8-1363·2) for people with no previous infection, 1020·7 IC50 (725·9-1722·6) for people with a previous infection before omicron, and 1422·0 IC50 (679·2-3027·3) for people with a previous omicron infection. For the XBB 1.5 wave, we estimated peak titre values as 703·2 IC50 (415·0-3197·8) for people with no previous infection, 1215·9 IC50 (511·6-7338·7) for people with a previous infection before omicron, and 1556·3 IC50 (757·2-7907·9) for people with a previous omicron infection. Our study shows the feasibility of real-time estimation of antibody kinetics before SARS-CoV-2 variant emergence. This estimation is valuable for understanding how specific combinations of SARS-CoV-2 exposures influence antibody kinetics and for examining how COVID-19 vaccination-campaign timing could affect population-level immunity to emerging variants. Wellcome Trust, National Institute for Health Research University College London Hospitals Biomedical Research Centre, UK Research and Innovation, UK Medical Research Council, Francis Crick Institute, and Genotype-to-Phenotype National Virology Consortium.