What are the powers and duties of a county board of health?

A county board of health is charged with protecting and promoting public health in the county it serves.[1] The board has the authority to adopt local health rules that apply throughout the county, including within any municipalities, and may impose fees with the approval of the county commissioners, except when state law prohibits the imposition of local fees.[2] It appoints the local health director after consultation with the county commissioners. It can also hear appeals related to disputes about local health rules or fines imposed by the local health director.