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<section article="ghg" article_name="Health - General" number="18-208" title_number="18" title_name="Disease Prevention" subtitle_number="2" subtitle_name="Reports; Preventive Actions">
  <level label="a">
    <level label="1">
      <text>When a health officer has reason to believe that a disease that endangers public health exists within the county, the health officer shall:</text>
      <level label="i">
        <text>Report immediately to the appropriate county board of health; and</text>
      </level>
      <level label="ii">
        <text>With the approval of the board:</text>
        <level label="1">
          <text>Investigate the suspected disease; and</text>
        </level>
        <level label="2">
          <text>Act properly to prevent the spread of the disease.</text>
        </level>
      </level>
    </level>
    <level label="2">
      <level label="i">
        <text>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.</text>
      </level>
      <level label="ii">
        <text>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.</text>
      </level>
    </level>
    <level label="3">
      <text>A county board of health shall pay the necessary and legitimate expenses that a health officer incurs under this subsection.</text>
    </level>
  </level>
  <level label="b">
    <text>When a health officer is notified of an infectious or contagious disease within the county, the health officer:</text>
    <level label="1">
      <text>Shall act immediately to prevent the spread of the disease;</text>
    </level>
    <level label="2">
      <text>Within 24 hours after receiving notice of the disease, shall give the Secretary all information obtained on the disease; and</text>
    </level>
    <level label="3">
      <text>Shall cooperate with the Secretary to prevent the spread of the disease.</text>
    </level>
  </level>
  <level label="c">
    <level label="1">
      <text>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.</text>
    </level>
    <level label="2">
      <text>If a health officer is unsure whether a disease is infectious or contagious, the health officer shall notify the Secretary.</text>
    </level>
  </level>
</section>
