Disinfection of municipal wastewater effluent was evaluated using three alternatives, including; (1) low-pressure (LP) + medium-pressure (MP) UV lamps; (2) clarifier + LP + MP; and (3) pressurized sand filter + LP + MP. Total coliform (TC), fecal coliform (FC), fecal Streptococcus (FS), TSS, several physicochemical parameters, absorbtivity and UV transmittance (UVT: %) were tested. The UVT% for secondary, clarified and filtered effluents were 3.5, 34 and 50, respectively. A 15% photo-reactivation in secondary effluent disinfected by LP lamp was observed, while it was limited to 0.03% by the MP lamp after filtration. Filtration to a surface overflow rate (SOR) of 1050 L/m(2) h, followed by MP irradiation at a dose of 230 mW s/cm(2) was an effective alternative to reduce the TC, FC, and FS in the disinfected secondary effluent. Filtration + MP lamp met the standards of 1000 TC and 400 FC/100 mL for effluent discharge to receiving waters. This process can also inactivate FS, effecting a 6-log reduction. Among the evaluated alternatives, none of the other treatment systems performed as well as the pressurized sand filter + MP lamp, making this the best combination for post-treatment and disinfection of secondary effluent from a well-run wastewater treatment plant. (C) 2010 Elsevier B.V. All rights reserved.