The Pathway towards Photoelectrocatalytic Water Disinfection: Review and Prospects of a Powerful Sustainable Tool

: Photoelectrocatalysis is a hybrid photon/electron-driven process that benefits from the synergistic effects of both processes to enhance and stabilize the generation of disinfecting oxidants. Photoelectrocatalysis is an easy to operate technology that can be scaled-up or scaled-down for various water treatment applications as low-cost decentralized systems. This review article describes the fundamentals of photoelectrocatalysis, applied to water disinfection to ensure access to clean water for all as a sustainable development goal. Advances in reactor engineering design that integrate light-deliv-ery and electrochemical system requirements are presented, with a description of photo-electrode material advances, including doping, nano-decoration, and nanostructure control. Disinfection and cell inactivation are described using different model microorganisms such as E. coli , Mycobacteria , Legionella , etc., as well the fungus Candida parapsilosis , with relevant figures of merit. The key advances in the elucidation of bacterial inactivation mechanisms by photoelectrocatalytic treatments are presented and knowledge gaps identified. Finally, prospects and further research needs are outlined, to define the pathway towards the future of photoelectrocatalytic disinfection technologies.


Introduction
The access to clean drinking water is essential to every person's life and was acknowledged as a human right by the United Nations (UN) in 2010 [1]. Despite recent advances, more than 2.2 billion people still lack access to safe drinking water and 4.2 billion lack safely managed sanitation [2]. These limitations were exacerbated during the COVID-19 pandemic, given the fact that more than 3 billion people worldwide do not have access to basic handwashing facilities at home [3,4]. Thus, access to clean water and sanitation for all is part of the roadmap towards sustainable development and equity, as defined by the UN [5,6].
The implementation of a public supply of safe drinking water at the beginning of the 20th century in the USA increased the lifespan of Americans by the astonishing number of 16 years between 1900 and 1947 [7]. Unfortunately, in the 21st century 3 in 10 people still lack access to safe drinking water services. Nearly 1000 children die daily due to avoidable diarrheal and other bacterial diseases [8]. Waterborne pathogen diseases can be prevented by effective water disinfection treatment.
One of the identified barriers to equitable access to water is a matter of environmental justice. Environmental justice considers the fair treatment and meaningful involvement of all people with respect to development, implementation, and enforcement of environmental laws, regulations, and policies (regardless of income, race, etc.) [9]. Access to drinking water is not an exception. One of the major barriers to equal access is associated with the high capital investment and maintenance of infrastructure and water distribution systems. The high costs of conventional centralized water treatment plants may make them unviable, especially in developing regions [10]. In this frame, decentralized technologies may play a key role in ensuring safe water for human wellbeing [11].
Decentralized water treatment involves the use of systems located at or near to the site where drinking water will be used by a small community and are usually referred to as small drinking water systems. This is a flexible and sustainable alternative that requires lower capital expenditure than large and centralized treatment plants. Point-of-entry (POE) treatments treat the water entering a community or a building to reduce the health risks associated with waterborne contaminants in drinking water. Meanwhile, point-ofuse (POU) treatments treat water at the point of consumption. These POE and POU technologies can be either the only and/or the final barrier to pathogens in water to be consumed. However, these small drinking water systems must be easy to operate by untrained consumers, compact, implementable as water and electrical off-grid technology, and affordable. Otherwise, these systems will become a barrier to equal access. As such, light-driven processes have demonstrated their high competitiveness and user-friendly deployability by meeting all these requirements.
Photoelectrocatalysis (PEC) is an emerging light-driven technology that recent studies have shown to be a highly adaptable and competitive approach in different scenarios, from centralized to portable individualized disinfection devices. This review article presents the fundamental principles of PEC as applied to disinfection. Note that the objective of disinfection is to inactivate pathogen microorganisms, usually by 99.99%. However, this concept should not be confused with sterilization, which implements more drastic methods to attain complete destruction of living organisms (100%) and their resistant structures (e.g., spores and prions), and which are not removed by disinfection treatments. Disinfection is usually applied in a sanitization context, with the aim of providing safe drinking water, while sterilization is conventionally used when extreme cleanliness is required (e.g., hospitals, surgeries). These two concepts must not be confused. In this review article we thoroughly address disinfection applications. Photoelectrochemical systems and reactor designs for disinfection processes are described and disinfection performance discussed for different target pathogenic microorganisms. Bacteria inactivation by direct and indirect photoelectrocatalytic mechanisms are presented, identifying fundamental research needs. Finally, a prospect section describes the steps and knowledge gaps that should be addressed to promote the translation of the technology to higher technological readiness levels and different application scales.

Bibliometric Analysis
Reviews and scientific articles related to the photoelectrocatalytic disinfection of microorganisms in wastewater were exhaustively searched for in the Scopus database at the end of April 2021, with the following keywords: Photoelectrocatalysis AND disinfection, and Photoelectrocatalysis AND bacteria. The first scientific articles on this topic were found in 2006, and only publications (reviews and scientific articles) written in English were selected within a period from 2006 to 2021. The authors, title, abstract, and references of each retrieved publication were listed and analyzed individually. This analysis excluded communications in congresses, conferences, and book chapters. The publications included in this review were selected on the following criteria: (i) the correct usage of the PEC method, (ii) the disinfection of synthetic and real wastewaters, (iii) an appropriate description of the experimental methodology used, with information about the photoelectrochemical system, the kind of cell and electrodes studied, the artificial lamp or natural light used for irradiation, adequate operating conditions, and the equipment for analysis and quantification of microorganisms, (iv) a detailed discussion of the results obtained, mainly regarding the synthesis and analysis of the photoanodes, the pathogen inactivation with electrolysis time and operating variables, the effect of the aqueous matrix and organic components, the assessment of the disinfecting agents used to explain the inactivation mechanism, and the presentation of SEM images to show the morphological changes to the inactivated bacteria. The measurement of the decay of total organic carbon (TOC) of real wastewater was also considered. Comparison with anodic oxidation (AO) and photocatalysis (PC) under the same conditions was useful to identify the synergistic or additive character of the photoelectrocatalytic treatment.
Apart from the above publications, several papers were selected to better understand the disinfecting agents and byproducts formed during the PEC process, as well as the nature of the semiconductor materials synthesized as photoanodes.
Following the above criteria, two key review articles were identified describing some aspects of bacteria disinfection. One of these reviews reported general information on the environmental and energy application of PEC, covering up to 2015 [12], whereas the other was more recent and rather centered on the explanation of large photoreactors for producing disinfecting agents in synthetic and real wastewaters [13]. However, a specific and critical review, such as the one presented here, on the inactivation of microorganisms by PEC has not been previously reported in the literature.
The bibliometric analysis was completed by identifying 38 scientific articles related to the photoelectrocatalytic disinfection of microorganisms. A large number of papers were published after 2017 (47.4%), disclosing the current growing interest in this technology for water disinfection. Regarding the pathogens inactivated, Escherichia coli was the preferred pathogen model to be inactivated (65.8% in 25 articles), followed by Mycobacteria (13.2% in 5 articles) and the fungus Candida parapsilosis (10.5% in 4 articles). The inactivation of other bacteria including Pseudonomas aeruginosa, Legionella pneumophila, Microcystin aeruginosa and so on, were studied to a much smaller extent (10.5% in 4 articles).

Characteristics of Photoelectrocatalysis
The photocatalytic effect of semiconductor materials was first reported in the ground-breaking work of Fujishima and Honda in 1972 [14]. PEC is a hybrid technology that benefits from the synergistic interactions of light-driven and electron-driven processes [12,15,16]. The irradiation of a semiconductor material with photons of energy superior to the characteristic bandgap energy (Eg) can photoexcite an electron from the full valence band (VB) of a semiconductor material to the empty conduction band (CB) [17][18][19]. The electron photoexcitation (eCB − ) simultaneously generates a positive vacancy or hole in the VB (hVB + ) following Reaction (1) [20,21]. These two species, known as charge carriers, present redox properties that can be exploited in heterogeneous catalytic processes. The eCB − are reducing agents and the hVB + are strong oxidants. When semiconductors are in contact with aqueous solutions, both eCB − and hVB + generate reactive oxygen species (ROS) that have bactericidal effects [22,23]. The photogenerated hVB + can oxidize water to hydroxyl radicals following Reaction (2). Meanwhile, the eCB − can react with dissolved oxygen yielding superoxide radicals from Reaction (3).
Semiconductor + hν → eCB − + hVB + (1) hVB + + H2O →  OH + H + The main limitation of purely photon-driven photocatalytic processes is the short time of life of the charge carriers (eCB − and hVB + ), which tend to recombine to return to the ground state, according to Reaction (4). This is supported by the average low life-time of charge carriers; <14 ns was reported for several semiconductor materials produced by photocatalysis applied to water treatment [24].
Here is where the electrification of photocatalysis provides an efficient solution to the drawbacks of the recombination reaction. When the semiconductor under irradiation is simultaneously employed as an electrode, the recombination reaction can be markedly reduced [25,26]. With the application of a bias potential to the semiconductor or a constant current, the charge carriers are separated by the induced electrical field, minimizing recombination rates, as illustrated in Figure 1. The prevention of charge recombination in the photoelectrocatalytic system is essential to maximize the efficient generation of eCB − and hVB + and their utilization in the process of interest: water disinfection [27,28]. Experimental results demonstrate a stark acceleration of the kinetic rate of organic pollutant abatement and bacterial inactivation.

Photoanodes for Disinfection and Photoelectrochemical Systems
The selection of photoanode material is essential for defining the disinfection performance of photoelectrocatalytic systems. Photoanodes are semiconductor materials generally based on metal oxides. Titania (TiO2) is the most studied material in environmental remediation and water disinfection [18,29]. TiO2 is an n-type semiconductor that presents three photoactive crystalline structures: rutile, anatase, and brookite. The most common nanostructure exploited in photoelectrocatalytic systems is TiO2 nanotubes (NTs) or solgel coatings on conductive substrates, as shown in Figure 2a,b [30,31]. All the TiO2 forms have Eg values within the range of 3.0-3.3 eV. The anatase structure is the most used crystalline phase, given its higher activity under UV irradiation. However, the main limitation of TiO2 photoelectrodes is associated with their low photo-response under natural sunlight irradiation, which only contains <4.0% of the UV light component within the entire solar spectrum [18,32]. This is a major limitation in developing regions with limited access to water and energy grids, due to the energy intensive requirements of conventional lamps. There are several solutions that have been considered to overcome this translational barrier, which will be discussed herein: (i) use of alternative semiconductor photoelectrodes, (ii) doping and nanodecoration of semiconductors, and (iii) the use of lightemitting diodes (LEDs) as the most recent tool for decentralized water treatment.
The photoelectrocatalytic disinfection studies summarized in Table 1 highlight the major focus on the use of TiO2, due to their innocuous character and well-known behavior in PEC. However, there are emerging studies and increasing interest in alternative photoelectrocatalytic materials. This is the case for ZnO as an n-type disinfecting semiconductor, which has been used under solar irradiation [33]. ZnO is a versatile semiconductor that can be shaped into alternative nanostructures such as fern-like structures [34], nanorods [35], nano-shaped coils [36], and other biomimetic structures [37], as can be seen in Figure 2c,e. Unfortunately, this material has been little studied in the context of disinfection applications. Similar nanorod structures can be obtained with copper oxides (see Figure 2f) [38]. In contrast, the use of WO3 as an n-type semiconductor has been reported [39]. The lower Eg of tungsten oxide (WO3), around 2.5-2.7 eV, pinpoints this semiconductor as a promising alternative for natural sunlight photocatalysis [40]. Nevertheless, the wide availability and inexpensive traits of TiO2 are hardly bettered by WO3, given that tungsten is an endangered element that may not be suitable long term, when considering life cycle analyses [41]. This is probably the main reason why research has focused on the modification of pristine TiO2 with doping or manufacturing nanocomposites.  [30]), (b) sol-gel TiO2 coating (reproduced from [31]), (c) ZnO fern-like structure (reproduced from [34]), (d) ZnO nanorods (reproduced from [35]), (e) ZnO coils (reproduced from [36]), and (f) CuO-nanorods (reproduced from [38]).
The doping of semiconductors is an approach that inserts intraband levels that decrease the Eg value required in the photoexcitation step (1) [42,43]. Elements introduced can replace titanium/oxygen atoms (substitutional doping) or can be inserted in the interstices of the existing crystallographic lattice (interstitial doping). Decreasing the photon energy required for Reaction (1) widens the range of the irradiation wavelength that can result in the efficient photogeneration of charge carriers and disinfectants. The other modification approach consists of the generation of nanocomposites by generating interfaces of metal/semiconductor or semiconductor/semiconductor [22,44,45]. While doping does not affect the structural aspects of the semiconductor, nanodecoration shows characteristic differences between pristine and modified materials (see Figure 2c). The presence of these interfaces generates a Schottky barrier, stabilizes the charge carriers, and delays the recombination Reaction (4). Furthermore, the implementation of antibacterial metals such as silver can result in a synergistic disinfection activity, by enacting bacterial inactivation mechanisms.
Finally, the addition of UV-LEDs to the water treatment tool-box has opened an avenue that can revolutionize photon-driven compact systems [32,46]. The most relevant aspect is that the high photon conversion efficiency and the low quantity of energy required can lift the techno-economic aspects that were the main roadblock for the translational application of photocatalytic and photoelectrocatalytic systems: the operational expenses of lamps.

Engineered Photoelectrochemical Systems
Photoelectrocatalytic disinfection has been demonstrated to be very effective, as summarized in Table 1. Scientific results suggest that photoelectrocatalytic treatment can become a competitive solution for the decentralized, quick disinfection of drinking water sources. However, there is a major engineering challenge to translate small laboratory setups into competitive reactor engineering settings. The most pressing need is to identify reactor designs that marry the needs for an efficient light delivery of photons from the light source (e.g., natural sunlight, UV-lamp, LEDs, etc.) with the required components of an electrochemical reactor that is connected to an electrical circuit, while maintaining the cathode and photoanode in a parallel position. One of the most obvious challenges is the light transport into a cell that contains two-dimensional electrodes positioned in a flowby system. Designs try to overcome this challenge with different engineering approaches. Figure 3 shows five designs that consider different light-delivery approaches in a batch reactor. The scheme of Figure 3a illustrates a photoelectrode plate placed perpendicularly to the light irradiation source (natural sunlight) to maximize the usage of direct radiation in an undivided cell [47,48]. Positioning the electrode closer to the upper-surface of the solution can also contribute to minimizing the photon absorption by the compounds in the solution, therefore enhancing the yield of disinfectant species. Meanwhile, the design of Figure 3d mostly considers the hydrodynamic needs of transport in an undivided batch reactor, at the expense of decreasing the effective photon irradiation by positioning the electrodes parallel to the natural sunlight [49]. Figure 3c shows an undivided cell with an inner UV lamp that irradiates perpendicularly to the electrodes [47]. This approach is one of the most commonly used in laboratory settings but may be non-operational for the treatment of larger volumes of solution. Note that the uneven radiation penetration can result in a non-uniform photo-activity of the photoelectrode. When trying to face the challenge of effective light-delivery, some researchers have proposed the immersion of lamps within the solution, as previously done for photocatalytic systems by positioning the electrodes around a quartz jacketed UV-lamp source. This design approach improves the light irradiation but induces a larger interelectrode-gap distance, implying larger electrical costs and the requirement for higher conductivities in the solution.
The development of thin transparent semiconductor coatings on glass surfaces, such as indium-doped tin oxide (ITO) and fluorine-doped tin oxide (FTO), has opened avenues to use an external radiation source utilizing these electrodes as a window into the photoelectrochemical cells [30]. This engineered approach benefits from the direct usage of light, while maintaining the conventional electrochemical cell designs of electrochemical filter-press cells. However, this may result in a larger unit physical footprint, because of the required window of irradiation, as can be seen in Figure 3b [30].
The recent implementation of LEDs may revolutionize reactor design. For instance, Figure 3e depicts a scaled-down portable and autonomous photoelectrocatalytic device for disinfection [28]. The compact water flask-like design tries to maximize the know-how of batch-systems, while providing the portable capability of a compact design. The solution vessel includes a cylindrical cathode with a concentrically inserted photoanode. This design maintains a small interelectrode gap distance, while providing an even irradiation of the photo-anode surface for effective generation of disinfectants in-situ. Similar design and engineering advances may be inspired by the LED's compact, versatile, and adaptable capabilities. Nevertheless, it becomes evident that developing a new reactor design is one of the major needs for the advancement of photoelectrocatalytic technologies and to enable access to clean water for all.  [47]). (b) Divided threeelectrode cell upon solar irradiation for solar PC (SPC), anodic oxidation (AO), and solar PEC (SPEC) (adapted from [49]). (d) Undivided two-electrode tank reactor with the photoanode (in red) irradiated with external UV light (adapted from [30]). (e) Portable autonomous photoelectrocatalytic disinfection device (reproduced from [28]).

Medium Experimental Conditions Best Results Ref Escherichia coli
Stirred undivided threeelectrode tank reactor with an inner 9 W UVA lamp 500 mL of 10 3 CFU mL −1 E. coli in pure water with 0.10 M Na2SO4 at pH 5.6 and 25 °C TiO2 deposited onto Ti as photoanode, SS a wire cathode surrounding the UVA lamp, and Ag|AgCl reference electrode. Ean b = +1.0 V/Ag|AgCl 11% cell inactivation by AO c in 120 min, and total cell disinfection by PC e in 105 min and PEC in 60 min. [50] Similar to Figure 3d illuminated with an external 4 W UVA light 50 mL of 1.6 × 10 9 CFU mL −1 fecal coliforms (1.2 × 10 6 CFU mL −1 E. coli) in real urban wastewater at pH 7.9 Al|TiO2 or Al|TiO2-Ag photoanode, and Al cathode. Cell voltage = 0.5-1.5 V No bacteria adsorption onto the two photoanodes. After 6 min of AO: 68% (Al|TiO2) and 88% (Al|TiO2-Ag) disinfection at 1.5 V. For all voltages, total cell inactivation by PEC: 3 min (Al|TiO2-Ag) < 6 min (Al|TiO2). SEM images of inactivated E. coli. [23] Flow-through undivided three-electrode thin-layer cell with a quartz window.

Photoelectrocatalytic Disinfection of Microorganisms
The disinfection power of PEC has been tested with a small number of microorganisms. While Escherichia coli has been the most typical bacterium chosen for this purpose, several studies have been performed with the fungus Candida parapsilosis and various Mycobacteria. The disinfection of water with other bacteria such as Pseudonomas aeruginosa, Legionella pneumophila, and Microcystin aeruginosa, among others using PEC has also been described. This section is devoted to explaining the characteristics of these disinfections, with selected results summarized in Table 1.

Escherichia coli
E. coli is one of the most common, and therefore most studied, bacteria. It is a fastgrowing Gram-negative rod shaped microorganism, with replications in ~20 min. E coli has many strains, of which some are commensal, while others are pathogenic [60]. It is a ubiquitous bacterium that survives for a long period outside the intestinal tract (its traditional home) and can replicate in soils and sediments in all climates [61]. E. coli is a fecal bacterium and thus a common pollutant in water sources. Some strains of this bacterium are resistant to antibiotics and thus pose a threat to humans. It has been found in diverse water sources, such as drinking water, surface water, municipal wastewater, and so on. Based on these facts, the removal of E. coli from water is needed to ensure human health.
While PEC has been applied for the removal of a wide range of organic pollutants, it has also found application in the removal of microorganism pollutants such as E. coli. Early works on the application of PEC for the inactivation of this bacterium were based on the use of TiO2 deposits onto Ti as a photoanode with irradiation with a UVA light [50,[62][63][64]. Philippidis et al. [50] carried out the photoelectrochemical disinfection of 500 mL of 10 3 CFU mL −1 E. coli in 0.10 M Na2SO4 at pH 5.6 and 25 °C. The reaction took place in a stirred, undivided three-electrode cell, with TiO2 P-25 deposited onto Ti substrates upon an inner 9 W UVA light at Ean = +1.0 V/Ag|AgCl. The authors reported an 11% inactivation with AO in 120 min, and an overall disinfection after 105 min of PC and 60 min of PEC, demonstrating the superior performance of PEC over the individual treatments. The authors established a small effect for the inactivation efficiency, between 10 3 and 10 7 CFU mL −1 of cells, and demonstrated that a composite Ti|TiO2-Pt photoanode favored the disinfection process (see Table 1).
The deposition of sol-gel TiO2 has been carried out on Al [23], ITO [51,54,64], and FTO [52] substrates. Domínguez-Espíndola et al. [23] prepared Al|TiO2 and Al|TiO2-Ag photoanodes that were introduced into a cell similar to that of Figure 3d with illumination of 4 W UVA light containing 50 mL of 1.6 × 10 9 CFU mL −1 fecal coliforms (1.2 × 10 6 CFU mL −1 E. coli) in real urban wastewater at pH 7.9. The Al|TiO2-Ag photoanode performed better than the Al|TiO2 one at cell voltages of 0.5-1.5 V. Total disinfection was achieved in 3 min for the former, vs. 6 min for the latter. Much slower inactivation was found with AO without illumination, as expected from the higher disinfectant power of PEC with its greater ROS production from the generation of eCB − / hVB + by Reaction (1) (see Table 1). Note that aluminum substrates are not recommended, because exposure to the solution may induce electrodissolution of the aluminum substrate. Generally, these kinds of substrate should be avoided to prevent undesired accelerated degradation of the photoelectrode. Li et al. [64] reported from 99.90% to 100% inactivation of E. coli by PEC in the presence of 1.0 mM Br − , which yielded Br •− /Br2 •− as disinfectants in less than 2 s from a bacterial concentration of 9 × 10 6 CFU mL −1 in 0.1 M NaNO3. However, halogen oxidants may be susceptible to yielding disinfection by-products, where bromine containing organics have been reported to be more toxic than organochlorine species [65]. A unique setup with flow at small rate through a three-electrode reactor with an ITO|TiO2 photoanode submitted to an anodic potential (Ean) of +0.3 V/Ag|AgCl and illuminated with an external UV-LED light of 365 nm was used. The PEC treatment without Br − was less potent, giving 100% inactivation after 300 s. This report reveals that the introduction of other non-conventional radicals as oxidizing agents drastically enhances the disinfection capacity of PEC systems, by oxidation with ROS formed from Reactions (2) Table 1). Liu et al. [52] explored the use of a FTO|(1 1 1) rutile TiO2 photoanode with an undivided threeelectrode tank reactor illuminated with an external 150 W Xe lamp that was filtered to obtain UV and visible light. In this batch system, 45 mL of 10 7 CFU mL −1 bacteria in 0.10 M NaNO3 was treated by AO and PEC at Ean = +0.4 V/Ag|AgCl. PEC was always superior to PC, and much slower inactivation was obtained by AO and direct photolysis. The more energetic photons of UV yielded a higher disinfection rate that those of visible light. It was also found that direct solar illumination was much more effective for PEC due to its greater UV intensity (see Table 1). It is important to remark that UVC sources can also attain disinfection given certain doses of high-energy photons that can damage the genetic material of bacteria [66]. Thus, blank experiments are required to evaluate the bacteria inactivation of the light sources employed.
The excellent results obtained for the PEC treatment of E. coli have been confirmed in many works with Ti|TiO2 NTs photoanodes prepared by the anodization of a titanium sheet [28,30,47,53,54,[67][68][69]. In a first work, Baram et al. [67] used an undivided threeelectrode tank reactor connected to an external 30 W UVA lamp to disinfect a solution containing about 10 6 -10 7 CFU mL −1 of E. coli bacteria (strain CN13) and 0.01% NaCl al pH 5.2 and Ean within the range of +1 to +18 V/SCE for 3 to 6 h. The number of bacteria removed increased with increasing applied voltage up to 15 V, and over 99% of the E. coli cells were inactivated after 6 h at 15 V. Two years later, this research group [53] prepared another morphology of Ti/TiO2 NT from a fluoride ion containing an electrolyte (as earlier reported by Macak et al. [70]) that allowed a better application of PEC at much lower Ean between +0.2 and 5.0 V/SCE in the same system. Complete inactivation of the bacteria was achieved for decreasing times of 30, 20, 15, and 10 min at increasing Ean values of +0.2, +1.0, +2.0, and +3.0 V/SCE, respectively; clearly improving the PC treatment (see Table 1). This study suggests that the inactivation of E. coli (and other microorganism) depends on the morphology of the semiconductor used. Pablos et al. [54] reported the PEC treatment of 15 mL of 10 6 CFU mL −1 E. coli in ¼ strength Ringers solution at 25 °C with a stirred undivided three-electrode tank reactor, with air bubbling to enhance the O2 •− generation from Reaction (3). This was illuminated with an external 450 W Xe lamp to provide UV-Vis light and was cutoff at λ < 420 nm for visible light. Two kinds of Ti|TiO2 NTs photoanode were used, without and with N doping, which did not yield any disinfection with AO. Total disinfection was attained more rapidly with the Ti|N-TiO2 NTs photoanode than the Ti|TiO2 NTs one upon UV-Vis illumination in PEC, with a lower efficiency, as expected, with visible light (see Table 1). These findings indicate that the doping of TiO2 with non-metal atoms can upgrade the disinfection power of a PEC system. The influence of the cathode on the performance of the PEC process was recently examined by Salmerón et al. [30]. The photoelectrocatalytic reactor of Figure 3d with a Ti|TiO2 NTs photoanode and either a Ti|Pt or carbon felt cathode was used for the treatment of 190 mL of 10 6 CFU mL −1 E. coli in surface water at pH 7.4. The carbon-felt cathode produced the bactericide H2O2 from the two-electron reduction of the O2 dissolved in the water, and apart from the ROS produced from Reactions (2) and (3), active chlorine was generated from the anodic oxidation of Cl − present in the medium. These authors confirmed the formation of both kinds of oxidants and the prevalence of PEC over PC and AO for both cathodes (see Table  1). Figure 4a highlights that after supplying a cell voltage of 1 V for 120 min, the Ti/Pt cell led to increasing 0.04, 1.00, and 2.40 log unit cell reductions for AO, PC, and PEC, respectively. In the Ti/carbon-felt cell, slightly greater decays of 0.10, 1.15, and 2.90 log units were obtained by the additional action of the generated H2O2, as shown in Figure 4b. An enhancement of the inactivation process can be observed in the presence of organic micropollutants (OMP), due to the toxic byproducts that they produce. This point was confirmed by adding high concentrations (5 mM) of methanol and acetate as hole acceptors, which are directly oxidized instead of the molecules of the cell wall. Figure 4c depicts a drastic decay of 5 log units in the presence of both organics, because of the rapid indirect inactivation of the bacterium with their byproducts. These findings give evidence of the influence of the organic composition of real wastewaters for explaining the direct and/or indirect inactivation of bacteria by the generated disinfectants or organic byproducts, respectively.  Figure 3d with Ti|TiO2-NTs acting as anode, photocatalyst, or photoanode for AO, PC, or PEC, respectively. The photo-assisted processes were carried out with an 18 W UVA light. A cell voltage of 1.0 V was applied to the AO and PEC trials. Comparative assays using: (a) Ti|Pt or (b), (c) carbon felt cathode. In (c), the suspension was polluted with 5 mM methanol or acetate as hole acceptor. Adapted from [30].
Other PEC systems have been developed with different TiO2 arrangements. Figure 5 presents a curious system, in which TiO2 supported by granular activated carbon (GAC) was placed in a central basket of a cell, like that in Figure 3c, with a 100 cm 2 Pt|RuO2 anode and a 100 cm 2 SS cathode and irradiated with an inner 6 W UVA light to treat 10 3 CFU mL −1 E. coli in synthetic fish farm wastewater at pH 6.2 [71]. Figure 5a shows that the PC process with GAC-TiO2 yielded 2.65 log unit decay after 120 min and was much more rapid than direct photolysis, GAC alone, and PC with GAC; corroborating the photoactivation of TiO2 onto GAC. This was more clearly evidenced when PEC with GAC-TiO2 was performed. Figure 5b discloses the poor inactivation contribution of AO vs. PEC with GAC-TiO2 at j = 0.03 mA cm −2 , with the need of raising j up to 0.10 mA cm −2 to attain overall disinfection for PEC with GAC-TiO2 (see also Table 1). These results suggested that GAC-TiO2 behaves as a bipolar electrode upon photoexcitation, with a large production of • OH from Reaction (2) as the main disinfectant. The close relationship between the disinfection ability of this procedure and the rate of • OH generation can be inferred by comparing Figure 5b,c.
Nie et al. [55] prepared different composites of N-doped carbonaceous|TiO2 photoanodes by a hydrothermal technique at 120, 150, and 180 °C. These photoanodes were put in a stirred, undivided three-electrode tank reactor irradiated with visible light provided by a 300 W Xe lamp with filters cutting-off λ < 420 nm and aiming to disinfect 50 mL of 10 7 CFU mL −1 E. coli (strain K 12) in 0.2 M NaNO3. Figure 6a depicts a weak cell inactivation by photolysis and AO at Ean = + 1.0 V/Ag|AgCl for the composite prepared at 150 °C, whereas the photoactivation of the TiO2 component with ROS generation yielded total inactivation after 90 min of PEC and 40 min of PEC at the same Ean value. Figure 6b shows that the cell inactivation was enhanced at lower hydrothermal temperature, and 30 min were required for total disinfection with the composite prepared at 120 °C (see Table  1). This phenomenon was ascribed to the larger inclusion of synthesized N-doped carbonaceous into micron-sized TiO2 spheres at 120 °C, which could enhance the absorption of the visible light.
Rahmawati et al. [72] used a divided system, similar to Figure 3b, for the treatment of 100 mL of 10 5 CFU mL −1 E. coli in pure water filled into the anodic compartment. The cathodic compartment contained 100 mL of 0.1 M KCl and a graphite rod cathode. Two composites of Ag-TiO2|graphite and Cu-TiO2|graphite were prepared as photoanodes and illuminated with a 6 W UVC light in the anodic compartment. Figure 7a,b shows the percentage of cell inactivation by different processes for both photoanodes, respectively, with the application of a cell voltage of 3 V for 30 min for AO and PEC. The percent of bacteria population that remained inactivated after 24 and 48 h is given to assess the replication ability of the treated cells. The same tendency can be observed in both figures. At the end of the treatment with Ag-TiO2|graphite, the percentage cell inactivation increased in the sequence: photolysis (38%) < PC (80%) < AO (84%) < PEC (90%), whereas for Cu-TiO2|graphite, slightly lower values were obtained: photolysis (38%) < PC (77%) < AO (82%) < PEC (87%). The inactivation increased strongly after 48 h of photolysis (90%) and slightly after the other treatments in the case of Ag-TiO2|graphite. For Cu-TiO2|graphite, only an enhancement of the cell population was found for AO, whose inactivation dropped to 61% in 48 h. These findings demonstrate the high ability for disinfection of PEC that can be prolonged and even increased in further days after its application. Since the Ag-TiO2|graphite composite presented better performance, a further work by these authors [49] was centered on its use in the same system with direct sunlight, revealing an unexpected behavior, since greater cell inactivation was achieved by AO than by SPEC after 30 min of treatment. This was explained by the existence of auto-oxidation of the doping Ag in the anode in both processes, which produced a different inactivation activity. This instability makes it evident that divided reactors are not appropriated for PEC because they require high cell voltages due to the voltage penalty of the separator between the two compartments that can oxidize the anode.   Several works have reported photoanodes with materials having a lower Eg value than TiO2, aiming to enhance the cell inactivation by visible light. FTO|CuO or FTO|CuO nanoroads (NRs) [38], Ti|TiO2-Ag|SnO2-Sb [73], FTO|ZnO||CuI [74], and Ti|MoS2 [56] were investigated. For instance, Eswar et al. [38] studied the simultaneous removal of 25 mg L −1 tetracycline and 10 9 CFU mL −1 E. coli in pure water at 15 °C with a photoreactor similar to Figure 3d and external illumination with a 400 W UV-Vis light that was filtered to provide visible light with λmax = 510 nm. By using a FTO|CuO photoanode and applying a cell voltage of 3 V in the electrolytic assays, an increasing cell reduction of 1.7, 6.0, 6.9, and 9.0 (total) log units was determined for photolysis, AO, PC, and PEC at 25 min; showing the good disinfection ability of the PEC system under these conditions. Tetracycline was completely removed in 60 and 80 min in the presence and absence of E. coli. The smaller time needed in the former case was ascribed to the influx of the drug into the cell of the E. coli when they were combined. Better performance was obtained with the FTO|CuO photoanode as compared to the FTO|CuO NRs one in PEC, which presented high stability and reusability. These authors found that eCB − and O2 • were the main disinfectants produced (see Table 1). Thus suggesting that both charge carriers may be involved in the inactivation mechanism. Further research is required to clarify the involvement of these species. He et al. [73] used a reactor similar to Figure 3d, with a Ti|TiO2-Ag|SnO2-Sb photoanode illuminated with a 250 W Xe light to treat a mixture of 1.2 mg L −1 17α-ethinylestradiol and 10 9 CFU mL −1 E. coli in 100 mM Na2SO4 at pH 4.0-and 20 °C. Photolysis and PC yielded 3% and 19.0% of 17α-ethinylestradiol, and 4.4 and 4.7 log units of cell inactivation, respectively. At j = 40 mA cm −2 for 60 min, AO only improved the degradation of the organic pollutant to 34%, whereas the most powerful PEC enhanced substantially this degradation to 56%, but only allowed a discrete reduction of 5.7 log units of E. coli (see Table 1). This material then presented a low disinfection ability in PEC, although with a good stability. On the other hand, SPEC was applied by Zhang et al. [56], with a stirred undivided three-electrode quartz reactor with a Ti|MoS2 photoanode directly illuminated by sunlight. A volume of 100 mL of 10 5 -10 7 CFU mL −1 E. coli in NaCl was disinfected in this system under different experimental conditions (see Table 1). Figure 8a shows a very low inactivation of this solution under solar photolysis and AO with 0.10 M NaCl at Ean = +0.5 V/Ag|AgCl, whereas the SPEC became very efficient, yielding total inactivation in 120 min, with the latter conditions. The trial and error results of Figures 8b-e allowed concluding that the best operating conditions were attained operating at Ean = +0.5 V/Ag|AgCl, 0.10 M NaCl, and 10 6 CFU mL −1 of bacterium, as well as purging the solution with O2 to accelerate the production of O2 •− by Reaction (3). The efforts that made by the authors to assess the disinfection action of the generated oxidizing agents using specific scavengers are notable. Figure 8f reveals that the loss of inactivation from the disinfectants formed at 120 min decayed in the order: H2O2 > O2 •− > 1 O 2 > • OH > eCB − , alongside a very small contribution of hVB + . This indicates the complex formation of ROS needed to inactivate the cell and the preponderant role of eCB − over hVB + , despite its extraction from the photoanode to pass to the cathode.

Candida parapsilosis
Candida parapsilosis, though commensal to the skin, is an emerging fungal species of yeast of huge health concern, especially in the hospital environment, and coming from excrement or from human skin [75,76]. It forms biofilms, and patients with any form of medical implant, such as a catheter, are at high risk of infection. Biofilms of this yeast have been found in washing machines, dishwashers, and swimming pool water [77,78].
Zanoni's group studied extensively the inactivation of C. parapsilosis by PEC with different systems, photoanodes, and light sources. In the former work of Pires et al. [79], an undivided three-electrode tank reactor filled with fungal solution or biofilms in 0.05 M Na2SO4 at pH 6 and 20 °C were disinfected with Ti/TiO2 or Ti/TiO2-Ag photoanodes at Ean = +1.5 V/Ag|AgCl upon an external 125 W UVA illumination. As expected, the PEC process was prevalent over photolysis and PC, and promoted the overall inactivation of 10 6 CFU mL −1 cells in 180 s with the Ti/TiO2 photoanode. The disinfection performance was not practically affected when alternately the Ti/TiO2-Ag photoanode was used, which is rather surprising, because the latter material presents a higher inactivation power for E. coli [23]. The authors also reported the good ability of PEC with Ti/TiO2 to inactivate 10 6 CFU mL −1 cells as fungal biofilms on PTFE, silicone, and polyvinyl chloride in 60, 10, and 60 min, respectively, with 91%, 91%, and 71% mineralization. Further work by Kim et al. [57] was carried out with a Ti|TiO2 NTs photoanode surrounding a 36 W UVB light and bubbling O3 through an annular reactor to enhance the disinfection power of the system. As can be seen in Table 1, they treated 1 L of 10 mg L −1 benzophenone-3 and 10 6 CFU mL −1 C. parapsilosis in 0.01 M Na2SO4 with an input flow rate of O3 of 1.25 × 10 −4 mol min −1 , and obtained total cell inactivation in 45 min, by applying a cell voltage of 2 V. These results were worse than those obtained in the earlier work of Pires et al. [79], suggesting that inactivation was mainly due to the ROS originated from PEC, which mainly depended on the Ean value and light intensity. Nevertheless, the PEC process with O3 overcome the process without this oxidant, allowing a 100% degradation of benzophenone-3 in 25 min and 80% TOC abatement in 90 min. Owing to the prevalence of C. parapsilosis in hemodialysis infection, Souza et al. [39,80] evaluated the inactivation of this fungus in synthetic acid (pH 2.8) and basic (pH 7.9) dialysate solutions, mimicking those used in hospitals. A nanoporous W|WO3 electrode prepared by W anodization was subjected to 125 W UV-Vis or visible irradiation in an air-stirred undivided three-electrode tank reac-tor. The PEC assays were made with 250 mL of 10 6 CFU mL −1 C. parapsilosis in each medium at Ean = +1.0 V/Ag|AgCl for 120 min. Figure 9a,b evidence that a greater photocurrent density was generated in the acid dialysate compared with the basic one, and was much superior with UV-Vis than visible light. Operating with the former irradiation, overall inactivation took place at 10, 5, and 1 min, and 60, 30, and 5 min for photolysis, PC, and PEC, using the acid and basic dialysate, respectively (see Figure 9c,d). Despite the greater disinfection power in acid dialysate, Figure 9e,f shows similar increasing TOC abatements of 19%, 27%, and 43% found for such treatments regardless of the medium tested (see also Table 1). These findings encourage deeper studies of PEC as a promising technology for the disinfection of real dialysates.

Mycobacteria
Mycobacteria are Gram-positive bacteria with over 100 species. The tuberculosis bacterium M. tuberculosis is a member of this genus. Other mycobacteria that do not cause tuberculosis are referred to as nontuberculous mycobacteria (NTM). Unfortunately, many of these NTMs are opportunistic human and animal pathogens that can cause a wide range of illnesses, such as pulmonary infections [81]. Mycobacteria are ubiquitous bacteria, since they have been detected in soil and in most types of water, such as surface waters (including marine waters), drinking water, and water plumbing systems [82]. In fact, a correlation between water age and the quantity of mycobacteria has been established [81]. Mycobacteria can thrive in conditions where other bacteria cannot survive and can thus remain in water as a pollutant for a long time. Some mycobacteria are persistent water pollutants in wastewater treatment plants and have been found in treated wastewater effluents, denoting their recalcitrant nature against conventional water treatment methods [83]. It is therefore necessary to apply powerful oxidative methods such as PEC for the complete elimination of these Mycobacteria from water.
The excellent inactivation ability of PEC for several species of mycobacteria has been confirmed by Zanoni's group in pure water. They disinfected aqueous solutions of M. kansasii and M. avium [22], M. smegmatis [58,84], M. fortuitum, M. chelonae, M. abscessus [85], and M. tuberculosis [86], using Ti|TiO2 and Ti|TiO2-Ag NTs photoanodes under UVA or visible illumination. For instance, 250 mL of 5 × 10 8 CFU mL −1 M. kansasii or M. avium [22] and 7 × 10 4 CFU mL −1 M. smegmatis [58] in 0.05 M Na2SO4 were treated with an undivided three-electrode tank reactor submitted to external illumination with a 125 W UVA lamp. The reactor was equipped with a Ti|TiO2-Ag NTs photoanode and an Ean = +1.5 V/Ag|AgCl was provided for AO and PEC (see Table 1). Figure 10a,c depict that M. kansasii and M. avium were not abated by AO, poorly removed by photolysis and PC, and as expected, more effectively inactivated by PEC; although only 4.2 and 3.4 log units of them were reduced in 60-90 min. The evolution of polysaccharides and mycolic acids released during the treatments confirmed the cleavage of cell walls, being related to the TOC abatement of both solutions. The percent of TOC removal achieved by the different processes followed the same tendency as the inactivation, giving rise to a maximum reduction of 57% and 48% after 240 min of PEC for M. kansasii and M. avium, respectively, as can be seen in Figure 10b,d. In the case of M. smegmatis [58], a 150 W visible light was also used to illuminate a similar small reactor with 10 mL of solutions. Figure 10e clearly highlights the much better performance of UVA light compared to the visible light for cell inactivation, because the more energetic photons favored the production of eCB − /hVB + pairs from Reaction (1) and ROS to a much larger extent. This was reflected by the total mineralization achieved by the solution in 240 min, with the UVA light better than the 37% TOC removal attained with visible light (see Figure 10f). These authors confirmed a negligible lixiviation of the surface Ag to Ag + that conferred a high stability to the Ti|TiO2-Ag NTs photoanode under the conditions tested. More research is needed to confirm the effectiveness of PEC for disinfecting real wastewaters contaminated with mycobacteria, including the study of energy costs for possible industrial applications.

Other Microoganisms
A few other microorganisms have been treated by PEC with TiO2 photoanodes, usually in pure water. The abatement of the cyanobacterium Microcystin aeruginosa [87]; the bacteria Staphylococcus aureus, Klebsiella pneumoniae, and Bacillus subtilis spores; the parasitic protozoan Cryptosporidium parvum [27]; and the bacteria Pseudonomas aeruginosa [59]

Mycobacterium smegmatis
and Legionella pneumophila [28] have been described, and, in many cases, compared with that of E. coli. Pseudonomas aeruginosa is a Gram-negative aerobic bacterium, ubiquitous in water and soils, that can cause infections such as otitis, keratitis, dermatitis, and pneumonia [59,88]. It is also a common bacteria that causes failure in water treatment systems such as filtration units [89]. Domínguez-Espíndola et al. [59] prepared Ti|TiO2-Ag photoanodes with 1% and 4% surface Ag prepared to assess the effect of this metal on the PEC disinfection of this pathogen. Each photoanode was introduced into a stirred undivided threeelectrode tank reactor and subjected to an Ean value of +1.00 or +1.70 V/Ag|AgCl with an external 125 W UVC light. Under these conditions, 100 mL of 10 6 CFU mL −1 cells suspended in 7-25 mM Na2SO4 at pH 5.9 and 25 °C were treated for 40 min. Figure 11a shows that at this time, total inactivation was achieved by PC in 25 mM Na2SO4; whereas, a much shorter time of 5 min was required by PEC at Ean = +1.70 V/Ag|AgCl. However, a longer time of 35 min was needed for overall inactivation when PEC was run with a smaller content of 7 mM Na2SO4. The enhancement of the disinfection power with increasing Na2SO4 concentration can be ascribed to the formation of additional oxidizing species as disinfectants, such as sulfate anion radicals (SO4 •− ) and peroxydisulfate (S2O8 2− ) from the oxidation of SO4 2− at the anode [90]. The positive effect of the higher applied Ean value and greater surface Ag in 25 mM Na2SO4, due to the larger production of ROS and other disinfectants and the disinfecting role of Ag, respectively, on the cell inactivation by PEC can be inferred from Figure 11b (see also Table 1). The Gram-negative Legionella pneumophila is normally present in both natural and artificial water systems and can cause respiratory diseases. For the disinfection of L. pneumophila, Montenegro-Ayo et al. [28] designed an autonomous photoelectrocatalytic reactor (Figure 3e) that contained 350 mL of solution in contact with a Ti|TiO2 NTs photoanode with an inner UV-LED illumination. The electrical energy required by the lamp and the reactor were provided by a battery. In 0.50 M Na2SO4 and by applying a very low current of 5 mA, a 2.6 log units reduction was determined after 60 min of PEC treatment of 3.3 × 10 5 CFU mL −1 L. pneumophila. This pathogen was more resistant to the attack of generated disinfectants than E. coli, which was reduced by 5 log units from a content of 10 5 CFU mL −1 after 10 s under the same operating conditions.

Mechanisms of Bacteria Inactivation
The large variety of existing pathogens and their cell complexity make it difficult to establish general mechanisms for bacteria inactivation. As a general rule, photoelectrocatalytic disinfection involves drastic morphological changes to the cell, provoking in most cases membrane cleavage or lysis due to the attack of the oxidizing agents, pre-eminently ROS, originated from the photogenerated charge carriers (eCB − and hVB + ). Some examples are collected in Figure 12 to show this behavior in scanning electron microscopy (SEM) images obtained for several untreated and treated cells. Figure 12a shows the change in morphology of E. coli when 50 mL of 1.2 × 10 6 CFU mL −1 bacteria in urban wastewater was submitted to PEC using a system similar to that of Figure 3d with an Al|TiO2-Ag photoanode at a cell voltage of 1.5 V for 30 min with an external 4 W UVA irradiation [23]. While the healthy, viable untreated pathogens presented a well-defined morphology with smooth surface, the treated cells became rough with a crumbled form, as result of the oxidative action of ROS on the membrane, cytoplasm, and nucleus of the cell. Figure 12b depicts the inactivation of E. coli by PC and PEC for samples of 9.0 × 10 6 CFU mL −1 in 0.1 M NaNO3 without and with 1.0 mM Br − , using a flow cell equipped with a Ti|TiO2 photoanode exposed to an UV-LED lamp [64]. Severe damage to the cell membrane can be observed for long treatment times by PC and PEC (at Ean = +0.30 V/Ag|AgCl) without Br − , which mainly occurred on the cell body parts in contact with the TiO2 surface, where the generated ROS accumulated. In contrast, the presence of 1.0 mM Br − yielded a much faster and severe cell damage in a short PEC time, taking place in all of the solution due to the oxidative participation of additionally generated reactive bromine species (Br • and Br2 •− ). For the inactivation of P. aeruginosa, Figure 12c highlights the morphological changes observed for 100 mL of 10 6 CFU mL −1 cells in a sulfate medium at pH 5.9 upon PEC treatment using a stirred undivided three-electrode tank reactor with an Ti|TiO2-Ag photoanode and illuminated with a 125 W UVC light at Ean = +1.70 V/Ag|AgCl for 5 min [59]. The surface of the treated cells became much rougher than those untreated, and some of them were lysed and collapsed, releasing cellular debris. This indicates the importance of the oxidation of the wall architecture by the generated ROS, which causes the loss of cytoplasmic material, leading to the death of the cells. It has been found that about 96% (w/w) of the dry weight of a bacterium is composed of organic macromolecules, including lipids, lipopolysaccharides, polysaccharides, and nucleic acids (RNA and DNA) [57]. These organics can be either partially or completely destroyed during PEC treatment. Several parameters can be measured to corroborate the damage of the cell by the generated disinfectants, such as the permeability and total protein content, lipids, cellular ATP level, intracellular enzyme, membrane potential, and K + leakage, among others [91]. In this context, TOC decay has been proposed to give indirect information about the oxidation of organic macromolecules caused by cell lysis [39,86]. The killing of cells from wall oxidation, followed by lysing and oxidation of internal cellular components is due to the loss of essential functions. For example, the presence of K + in a bacterial cell facilitates the activation of intracellular enzymes, osmosis, and pH regulation [74], and its output decreases the cell viability and favors the oxidation of polyunsaturated phospholipids present in the cell membrane, losing respiration ability [23,84]. It has also been documented that DNA and proteins can bind to oxidized lipids, hindering their regeneration and causing cell death [84]. However, several studies have described other types of DNA damage, such as photo-modification of nitrogenous bases and doublestrand rupture, which can be repaired by the cell allowing its survival and reproduction over a long-time frame. This occurs when microorganisms are submitted to UVC photolysis, since part of the backbone structure of ADN is maintained and can be repaired by the cell [39,57]. In contrast, the strong disinfection oxidants produced in PEC yield irreversible DNA damage, with the consequent death of the bacteria. Several authors have confirmed the destruction of specific molecules by PEC, such as the antibiotic-resistance genes blaTEM-1 and aac(3)-II of E. coli [69] and the polysaccharides and mycolic acids of M. kansasii and M. avium [22].
Attention has been paid to the generation and action of disinfecting agents in PEC aiming to elucidate a reaction mechanism for bacteria disinfection. As stated above, in a free-chloride medium, the photogenerated hVB + and eCB − via Reaction (1) produce the oxidants • OH and O2 •− from Reactions (2) and (3), respectively. Moreover, hVB + can also act as an oxidant center of organics, whereas O2 •− can evolve to other weaker oxidants, such as HO2 • and H2O2 [30]. All these species can kill the bacteria in PC, albeit slowly because they are produced in low concentrations due to the fast disappearance of the charge carriers by the recombination Reaction (4) [64]. In contrast, the extraction of eCB − from the photoanode towards the cathode in PEC drastically prolongs the lifetime of hVB + , and this species, and particularly • OH, become the main disinfectant agents [23,64]. This point has been confirmed from the inactivation of 10 3 CFU mL −1 E. coli in synthetic fish farm wastewater at pH 6.2 using Ti|TiO2 supported by GAC for PEC under a 6 W UVA light [71]. Figure 5c discloses the close relationship between the rate of • OH generation and the log cell unit decay, demonstrating the good disinfection power of this radical. The situation is more complicated when the aqueous matrix contains Cl − ion, as in the case of real wastewaters. Active chlorine is then largely formed from Cl − oxidation at the anode, as a strong disinfectant, and competes with • OH to inactivate the cells. However, radical active chlorine (Cl • and Cl2 •− ) and bromine (Br • and Br2 •− ) species can also be generated, and depending on the nature of the aqueous matrix, they create other disinfectant and toxic byproducts like dichloroacetic acid, bromochloroacetic acid, and bromodichloromethane [68,92]. The joint and parallel attack of all these disinfectants accelerates the death of bacteria in real wastewaters, but their partial consumption by organic pollutants and/or NOM inhibits their inactivation power.
Deeper research efforts are required to better understand the inactivation mechanisms of the generated disinfecting agents in different aqueous solutions by PEC. In light of this, the extensive work of Long et al. [91] on the removal of E. coli in sulfate, phosphate, and chloride media by AO with a boron-doped diamond/SS cell, where the main oxidant was the heterogeneous • OH formed at the anode surface from water oxidation, is remarkable. Oxidants such as S2O8 2− and peroxydiphosphate (P2O8 4− ) are also generated in sulfate and phosphate media, respectively. From the analysis of different parameters related to the subcellular mechanisms of bacterial damage, these authors concluded the following: (i) In sulfate medium, inactivation is mainly induced by the oxidation of proteins related to the K + transport, thus hindering the ATP synthesis and the subcellular localization of cell division protein, (ii) In phosphate medium, total destruction is achieved due to the overall mineralization of intracellular enzymes, alongside total and membrane proteins, and (iii) In chloride medium, the attack of • OH heterogeneous and active chlorine caused the degradation of intracellular enzymatic systems and the death of the cells.
The subcellular processes taking place in PEC should then be closely analyzed to identify the oxidized macromolecules that inactivated the cell. This could help in the establishment of cost-effective optimum conditions for the treatment of real wastewater using this technique.

Conclusions and Prospects
Photoelectrocatalysis is a versatile technology that can provide unique opportunities for decentralized and autonomous water disinfection. Enabling access to clean water would have a drastic impact in the quality of life globally. In situ disinfection can minimize the reliance on chlorine-based disinfectants and decrease the health impact of carcinogenic disinfectant by-products. Experimental results demonstrate excellent prospects for the advancement of PEC to a higher technological readiness level, but several aspects should be further investigated.
Material selection is a key element that may affect the overall cost of a treatment unit, especially if these costs are assumed by the final user. Thus, the photoanode material and selection of photoelectrode substrate become key aspects that have not been devoted the required attention. Other photoelectrocatalytic materials beyond TiO2 have been barely studied, which provides many opportunities for further exploration with more cost-effective systems, illuminated/powered with free natural sunlight. The evaluation of new materials has to be supported with mechanistic studies of inactivation, since a few studies hint that different types of semiconductors (i.e., n-type and p-type) may enable different inactivation mechanisms for bacteria and fungi.
As commonly seen in other light-driven catalytic technologies, PEC disinfection has a major barrier to its commercialization: the few and infrequent advances in engineering reactor design. There are still open questions regarding the best approach to deploying PEC technologies, as discussed herein. The marriage between light-delivery and electrochemical needs in this intensified hybrid process is indeed challenging, and not trivial. Future research should explore the competitiveness of PEC as a batch treatment system (e.g., the portable autonomous photoelectrocatalytic disinfection device of Figure 3f) or as continuous flow reactor devices capable of treating larger volumes of water. Researchers and engineers should decide if the delivery of treated water will come directly from the reactor device or should be stored for consumption. Furthermore, in the latter case, long-standing inactivation should be evaluated to discount bacteria/fungi regrowth after treatment.
Effective and fast inactivation of bacteria and fungi has been reported, but the mechanisms of bacteria inactivation/disruption are not fully-understood. Several water matrix effects may play a significant role, while involving the generation of different oxidants with different half-lives (i.e., hydroxyl radical vs. chlorine). Systematic studies that complete the missing pieces of PEC bacterial inactivation will contribute to enlightening the pathway for technological translation. This understanding will be essential to warrant the approval of the entities responsible for the safety of drinking water (e.g., the Food and Drug Administration (FDA) and the Environmental Protection Agency (EPA) in the US).