This work focused on the transformation behavior of the emerging beaytlmethodeyammonium chbride (BAC-12) disinfectant existed in the treatment of medical sewage during its disinfection treatment. The degradation ability of ozone (O3) to BAC-12 was the best, followed by UV/NaOCl, UV, and NaOCl. The enhancement of BAC-12 in UV/NaOCl system is caused by the combined effect of UV photolysis, reactive chlorine species (RCS), and •OH. The transformation products of BAC-12 in the disinfection treatment were detected, and the chemical structure of products was rationalized by frontier molecular orbital and transition state theory methodologies. According to the ecological structure-activity relationship (ECOSAR) assessment, the intermediates of BAC-12 in UV, NaOCl, and UV/NaOCl treatments had lower half lethal concentration (LC50) and chronic toxicity (ChV) values with a higher ecotoxicity than BAC-12. O3 disinfection treatment of these toxic intermediates can significantly reduce the toxicity of the BAC-12 solution. This work provides necessary information on the potential environmental risks of BAC-12 arising from different disinfection methods in the treatment of medical wastewater.
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