A UVC-assisted photo-Fenton process was applied to hospital wastewater that had been submitted to anaerobic treatment. Low iron (10 mu M; 0.56 mg L-1) and H2O2 (500 mu M; 17 mg L-1) concentrations were used at the natural pH of the effluent (pH approximate to 7.4). Citric acid was employed as a complexation agent, at a 1:1 ratio, in order to maintain Fe3+ soluble at this pH, avoiding extra procedures and costs associated with acidification/basification of the final effluent. The anaerobic process quantitatively reduced the biochemical oxygen demand (BOD5), chemical oxygen demand (COD) and total organic carbon (TOC), with low removal of antibiotics present in the wastewater. Degradation of the antibiotics ciprofloxacin, amoxicillin, sulfathiazole, and sulfamethazine was studied by spiking the anaerobic effluent at initial concentrations of 200 mu g L-1. The antibiotics were efficiently degraded (80-95%) using UVC radiation alone, although under this condition, no DOC removal was observed after 90 min. Further additions of H2O2 and iron citrate increased the degradation rate constant (k(obs)), and 8% of DOC was removed. A lower pH resulted in higher k(obs), although this was not essential for application of the photo-Fenton process. Irradiation with a germicidal lamp resulted in greater degradation of the antibiotics, compared to use of a black light lamp or sunlight, since the overall degradation was influenced by photolysis of the antibiotics, photolysis of H2O2, and the Fenton reaction. The photo-Fenton treatment could also be applied directly to the raw hospital wastewater, since no significant difference in degradation of the antibiotics was observed, compared to the anaerobic effluent. The photo-Fenton process under UVA and solar radiation reduced total coliforms and E. coli after 90 min. However, quantitative disinfection of these bacteria present in the Hospital effluent was only accomplished under UVC radiation.