The Medical Disaster Conference held at Dartmouth College in Hanover, New Hampshire, on June 13-15, 2001 was designed to address recommendations for the application of emerging technologies for counter-terrorism and discuss ongoing work concerning response strategies for biological incidents. The conference focused on two key goals: 1) developing a resource, logistic, and command and control strategy to respond to different scales of biological incidents, and 2) conceptualizing a future biological response system that employs distributed command and control, telemedicine, and robotics. Communities and military bases throughout the country would benefit from a practical resource and logistics response strategy that also includes plans for future technological advancements. As a result of the conference, participants were able to devise a regional response concept for identifying, obtaining, and applying response resources in the timeframe dictated by the temporal sequence of consequences during the course of a biological incident. The concept, based on the rapid integration of diverse resources, requires local, state, and federal agencies to plan and understand the strategy before an event. Participants also developed a biological response resource and allocation model and a long-term strategy that centers on a national distributed command and control system and simulator. The system is designed to integrate response and communication at the local, state, and federal levels. A distributed command and control system would provide a platform for advanced cybercare systems to reduce the impact of a biological incident by providing rapid detection, identification, and treatment. It was suggested that the near and long-term strategies be adopted as a national strategy for responding to biological terrorism. A 10-point action plan was developed to assist with the implementation of this national strategy.