West Virginia Code § 16-2-3

Authority to create, establish and maintain county boards of health; service
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area.
A county commission shall create, establish and maintain a county board of health if no other
local board of health organized under this article is established and responsible for public
health in the service area. The county board of health shall be organized pursuant to and
with the powers and duties prescribed by this article. The service area of aney county board
of health is the county territorial limits and includes every municipality within the county
that does not have a municipal board of health maintaining a separate rfull-time municipal
health department under the supervision of a municipal local health officer or that is not a
member of a combined local board of health.

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