Explanation of the Board of Health from North Carolina General Statutes

(a) A district board of health shall be the policy-making, rule-making and adjudicatory body for a district health department and shail be composed of 15 members:
provided, a district board of health may be increased up to a maximum number of 18 members by agreement of the boards of county commissioners in all counties that
comprise the district, The agreement shall be evidenced by concurrent resolutions adopted by the affected boards of county commissioners.

(b) The county board of commissioners of each county in the district shall appoint one county commissioner to the district board of health. The county commiasioner
members of the district boord of health shall appoint the other members of the board, including at least one physician licensed to practice medicine in this State, one
licensed dentist, one licensed optometrist, one licensed veterinarian, one registered nurse, one licensed pharmacist, and one professional engineer. The composition of
the board shall reasonably reflect the population makeup of the entire district and provide equitable district-wide representation. Al members shall be residents of the
district. if there is not a licensed physician, a licensed dentist, a licensed optometrist, a licensed veterinarian, a registered nurse, a licensed pharmacist, or a professional
engineer avalable for appointment, an additional representative of the general public shall be appointed. if however, one of the designated professions has ony one
person residing in the district, the county commissioner members shal have the option of appointing that person or a member of the general public.
(e) Except as provided in this subsection, members of a district board of health shall serve terms of three years. Two of the original members shall serve terms of one
year and two of the original memtiers shall serve terms of two years. No member shall serve more than three consecutive three-year terns unless the member is the only
person residing in the district who represents one of the professions designated in subsection (b) of this section, County commissioner members shall serve only as long
as the member is a county commissioner, When a representative of the general public is appointed due to the unavallability of a licensed physician, a licensed dentist, a
licensed optometrist, a licensed veterinarian, a registered nurse, a licensed pharmacist, or a professional engineer that member shall serve ony until a licensed physiclan,
a lcensed dentist, a Ecensed optometrist, a licensed veterinarian, a registered nurse, a licensed pharmacist, or a professional engineer becomes wvailable for
appointment. The county commissioner members may appoint a member for less than a three-year term to achieve a staggered term structure.

(d) Whenever a county shat join or withdraw from an existing district health department, the district board of health shall be dissolved and a new board shall be
appointed as provided in subsection (cl.
(e) Vacancies shail be filled for any unexpired portion of a term.

(f) A chairperson shall be elected annually by a district boord of health. The local health director shall serve as secretary to the board.
(g) A majority of the members shail constitute a quorum,