Maryland Code § HG-18-208

Section HG-18-208
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(a) (1) When a health officer has reason to believe that a disease that
endangers public health exists within the county, the health officer shall:
(i) Report immediately to the appropriate county board of
health; and
(ii) With the approval of the board:
1. Investigate the suspected disease; and
2. Act properly to prevent the spread of the disease.
(2) (i) Except in Baltimore City, the attending physician of an
individual who has the disease may act properly to prevent the spread of the disease
and does not need the approval of the county board of health to act.
(ii) A physician may act under this paragraph only until the
health officer completes the investigation under paragraph (1) of this subsection or,
if sooner, until the emergency ends.
(3) A county board of health shall pay the necessary and legitimate
expenses that a health officer incurs under this subsection.
(b) When a health officer is notified of an infectious or contagious disease
within the county, the health officer:
(1) Shall act immediately to prevent the spread of the disease;
(2) Within 24 hours after receiving notice of the disease, shall give
the Secretary all information obtained on the disease; and
(3) Shall cooperate with the Secretary to prevent the spread of the
disease.

(c) (1) When a health officer knows of any unusual disease or mortality
in the county or a contiguous county, the health officer promptly shall give the
Secretary notice of the disease or mortality.
(2) If a health officer is unsure whether a disease is infectious or
contagious, the health officer shall notify the Secretary.

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