The following paper will examine the types of preparedness activities available to leaders in Public Health, Emergency Management Services, Healthcare Facilities, Law Enforcement, Fire Services, Social Services, and Animal Control Services to prepare their communities for an act ofbioterrorism. In particular it will explore types of operations based and discussion based exercises. A specific case study in disaster preparedness taken from experience in Orange County, North Carolina will be used to illustrate these activities. The case study will be discussed at length to illustrate strengths and weaknesses that can be gleaned from such activities. Finally, the paper will conclude with recommendations for addressing two key deficiency areas: communication and stake-holder buy in.