Despite its efficiency in killing microorganisms, UV radiation will not remove heavy metals and particles. Something else to consider is the high maintenance requirement for a UV purification system. Frequent cleaning and proper part replacement are necessary requirements in maintaining a properly functioning system. Read our article on UV water purification systems for home to find out more.
A specific "large-scale" form of slow sand filter is the process of bank filtration, in which natural sediments in a riverbank are used to provide a first stage of contaminant filtration. While typically not clean enough to be used directly for drinking water, the water gained from the associated extraction wells is much less problematic than river water taken directly from the river.
One of the first steps in most conventional water purification processes is the addition of chemicals to assist in the removal of particles suspended in water. Particles can be inorganic such as clay and silt or organic such as algae, bacteria, viruses, protozoa and natural organic matter. Inorganic and organic particles contribute to the turbidity and color of water.