Abstract As the numbers of incidences of waterborne disease have globally increased so has the interest in employing more advanced techniques to reduce biological contamination of water. It has been demonstrated that ultrasound has a great influence on microbial activity and this can be seen in two ways, the inactivation of bacteria and the de-clumping of flocs. A range of frequencies of ultrasound was employed (20, 40, 580, 864 and 1146 kHz) at different powers to determine the effects on the pathogenesis of two Gram negative (Escherichia coli and Klebsiella pneumoniae) and two Gram positive (Staphylococcus aureus and Bacillus subtilis) bacteria at a laboratory and at a larger-scale. The results were analysed using both traditional viable plate counts and flow cytometry to analysis the effect of different ultrasonic frequencies on the viability of different bacterial species. Calorimetry was employed to determine the actual acoustic power entering each ultrasonic system. The 864 kHz bath (power setting 80%) resulted in the highest power input of all systems at 16.59 Watts as determined by calorimetric measurements. However, this frequency and power was not used in experiments for disinfection of all the bacterial species because it was difficult to maintain steady temperatures in the aqueous media and increases in temperature occurred. Ultrasound at the lower frequencies of 20 and 40 kHz yielded effective inactivation by greatly reducing the viability of Gram negative bacteria (Escherichia coli and Klebsiella pneumoniae) with 86 and 90% reduction in cell numbers at 20 kHz and 85 and 88% reduction in cell numbers at 40 kHz after 30 minutes sonication. By comparison only a minor de-clumping effect was observed for Gram positive bacteria (Staphylococcus aureus and Bacillus subtilis) with effective increases in cell numbers of 12 and 6% at 20 kHz respectively. High frequencies of 580 kHz (40 and 80% power setting), 864 kHz (40% power setting) and 1164 kHz (80% power setting) were employed to treat Gram negative bacteria (Escherichia coli and Klebsiella pneumoniae). Frequencies of 864 kHz (40% power setting) and 1164 kHz (80% power setting) were only employed to treat Escherichia coli. Results demonstrated a small declumping effect resulting in 9% and 3% increase in the number of live cells for both Escherichia coli and Klebsiella pneumoniae treated with 580 kHz (40% power setting) for 30 minutes. Small inactivation effects of 9 and 11% were observed for same bacterial strains when treated at 580 kHz (80% power setting). Gram positive bacteria (Staphylococcus aureus and Bacillus subtilis) treated with 580 kHz (80% power setting) also showed small inactivation effects (14 and 2%) after 30 minutes treatment. Flow cytometry analysis differs from the plate count treatment in that it can discriminate between and quantify two subpopulations in bacterial suspensions; live cells and dead cells. Flow cytometry data supported the plate count results for most tests. The effect of ultrasound (20 kHz) on a mixed culture of two bacterial species one Gram negative and one Gram positive (Escherichia coli and Staphylococcus aureus) generated an interesting result in that the response of the bacterial species was entirely dependent on their previous growth conditions. When the single bacteria were cultured separately and then mixed immediately prior to ultrasound treatment (20 kHz probe for 30 minutes) they each responded in a very similar way as they did in single cultures. Escherichia coli were sensitive to ultrasonic treatment, with 82% reduction, while Staphylococcus aureus was highly resistant with only declumping of 36% observed. On the other hand when a mixture of the two bacteria was cultured together there was a quite different response. While Escherichia coli continued to show almost complete inactivation (86%), Staphylococcus aureus bacteria now showed 93% inactivation of cells when treated with 20 kHz probe for 30 minutes (compared with only a declumping effect was observed when the two species separately). were cultured The effect of adding 5 ppm sodium hypochlorite (NaOCl) to the water with and without ultrasonic treatment on Escherichia coli, Bacillus subtilis and Staphylococcus aureus was investigated. Both Escherichia coli and Bacillus subtilis were highly susceptible showing 97% and 98% reductions respectively after 30 minutes treatment time compared to Staphylococcus aureus which showed greater resistance to treatment with only 2% inactivation under the same conditions. While the effect of 20 kHz probe alone on the single cultural of (Escherichia coli, Staphylococcus aureus and Bacillus subtilis) illustrated a (89%, -12% and -6%) reduction in the cells after 30 minutes ultrasonic treatment. Combined NaOCl (5 ppm) and ultrasound treatment (20 kHz, intensity 0.015 W cm3) enhanced the inactivation effect of Staphylococcus aureus with 24% reduction in the number of the live cells following 30 minutes treatment. The effect of sodium hypochlorite was also studied in combination with a hydrodynamic cavitation system (Sonolator). The effect of 5 ppm NaOCl on Escherichia coli bacteria resulted in 90% reduction in the number of live cells following 5 minutes treatment. The combination of treatments with 5 ppm NaOCl and hydrodynamic cavitation (Sonolator) resulted in 100% inactivation following 5 minutes flow treatment which equated to only 15 seconds of residence time within the hydrodynamic cavitation system (Sonolator). Large-scale commercial system which can operate at 100L/minute for advance oxidation processes (ozone and ultrasound system (USO 3), Ultra Sonic Systems) was used to test the potential for combined ozone and ultrasound treatment of bacterial suspensions. Three single bacterial strains Escherichia coli, Klebsiella pneumoniae and Staphylococcus aureus each 75 L were treated separately with ozone alone, ultrasound (612 kHz) alone and a combination of both under flow conditions for 16 minutes. Results revealed that three bacterial species (Escherichia coli, Klebsiella pneumoniae and Staphylococcus aureus) treated with ozone alone showed 100% inactivation within the first 2 minutes (corresponding to a single pass of the 75 L through the reactor). Ultrasonic treatment at 612 kHz alone resulted in small inactivation of 24%, 11% and 4% for Escherichia coli, Klebsiella pneumoniae and Staphylococcus aureus respectively. The combination of ozone and ultrasound, not surprisingly in view of the result with ozone, also resulted in complete removal of live cells within the first 2 minutes i.e. a single pass. Flow cytometry data generally supported the viable plate count results showing a reduction in the number of live cells following a single pass through the reactor. However there appeared to be some cells still in the quadrant related to the live cells position following treatment at all tests for all bacterial strains. This may be due to some bacteria still retaining fragments of cell walls which may take up fluorescent stains specific for live cells (SYTO9) thus appearing in the live cell position. Ultrasound clearly enhanced the inactivation effect of ozone via generation and collapse of cavitation bubbles which leads to cell death, in addition to deaggregating bacterial clumps to individual cell which makes the cells easer target for oxidation. An interesting observation was made when the bacteria treated with the ozone and ultrasound system were observed using Transmission Electron Microscopy (TEM). The effect of ozone alone on single cultures of Escherichia coli, which showed complete inactivation after a single pass through the ozone and ultrasound system (USO3, Ultra Sonic Systems) as indicated by holes in the bacterial cell walls using TEM analysis. In contrast to this observation the combined effect of the ultrasound and ozone treatment on the biological structure of Escherichia coli showed the complete removal of the entire bacterial cell wall. In addition, the application of TEM following the treatment with ultrasound (20 kHz, intensity 0.015 W cm3) has demonstrated the ability to remove attachment factors (pili) from Escherichia coli following 30 minutes treatment, along with cell destruction.