N.C. Gen. Stat. » Chapter 130A
NC General Statutes

N.C. Gen. Stat. § 130A-41 (2026)

Powers and duties of local health director

✓ current as of July 2026
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(a) A local health director shall be the administrative head of the local health department, shall perform public health duties prescribed by and under the supervision of the local board of health and the Department and shall be employed full time in the field of public health.

(b) A local health director shall have the following powers and duties:

(1) To administer programs as directed by the local board of health;

(2) To enforce the rules of the local board of health;

(3) To investigate the causes of infectious, communicable and other diseases;

(4) To exercise quarantine authority and isolation authority pursuant to G.S. 130A-145;

(5) To disseminate public health information and to promote the benefits of good health;

(6) To advise local officials concerning public health matters;

(7) To enforce the immunization requirements of Part 2 of Article 6 of this Chapter;

(8) To examine and investigate cases of venereal disease pursuant to Parts 3 and 4 of Article 6 of this Chapter;

(9) To examine and investigate cases of tuberculosis pursuant to Part 5 of Article 6 of this Chapter;

(10) To examine, investigate and control rabies pursuant to Part 6 of Article 6 of this Chapter;

(11) To abate public health nuisances and imminent hazards pursuant to G.S. 130A-19 and G.S. 130A-20;

(12) To employ and dismiss employees of the local health department in accordance with Chapter 126 of the General Statutes; [and]

(13) To enter contracts, in accordance with The Local Government Finance Act, G.S. Chapter 159, on behalf of the local health department. Nothing in this paragraph shall be construed to abrogate the authority of the board of county commissioners.

(c) Authority conferred upon a local health director may be exercised only within the county or counties comprising the local health department. (1957, c. 1357, s. 1; 1973, c. 476, s. 128; 1983, c. 891, s. 2; 1985, c. 175, s. 2; 1999-110, s. 1.)

 

Notes of Decisions
Cited in 8 cases (2 in the last 5 years), 1992–2021 · leading case: Gray v. Orange Cnty. Health Dep't, 457 S.E.2d 892 (N.C. Ct. App. 1995).
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Gray v. Orange Cnty. Health Dep't, 457 S.E.2d 892 (N.C. Ct. App. 1995). · cites it 12× “§ 126-37 and N.C.Gen.Stat. § 130A-41," and for a change of venue pursuant to N.”
Satorre v. New Hanover Cnty. Bd. of Commissioners, 598 S.E.2d 142 (N.C. Ct. App. 2004). · cites it 4× “See N.C. Gen. Stat. § 130A-41 (2003); Block v.”
Block v. Cnty. of Person, 540 S.E.2d 415 (N.C. Ct. App. 2000). · cites it 2× “Although defendants cite a number of statutes contained in Chapter 130A (Public Health) of the North Carolina General Statutes, there is *282 no statutory or constitutional scheme that creates the positions of Environmental Health Specialist or Environmental Health Supervisor…”
EEE-ZZZ Lay Drain Co. v. North Carolina Dep't of Human Resources, 422 S.E.2d 338 (N.C. Ct. App. 1992). · cites it 3× “1991), and the directors’ duties and powers are set forth with particularity in N.C.G.S. § 130A-41, and more generally in N.”
Gray v. Laws, 915 F. Supp. 747 (E.D.N.C. 1994). · cites it 5× “§ 130A-41(b)(12) (1992) provides that local health department directors have the authority “[t]o employ and dismiss employees of the local health department in accordance with Chapter 126 of the General Statutes.” Id. Chapter 126 of the North Carolina General Statutes…”
Houck & Sons, Inc. v. Transylvania Cnty., 852 F. Supp. 442 (W.D.N.C. 1993). “§ 130A-41(2). Thus, defendants Pierce and McGinnis merely enforced rules governing the installation of residential septic systems that the Board of Health adopted verbatim from the Commission’s regulations.”
Cline v. James Bane Home Bldg. (N.C. Ct. App. 2021). · cites it 15× “N.C.G.S. § 130A-41(b)(12) authorizes the powers and duties of local health directors, including the power and duty “[t]o employ and dismiss employees of the local health department in accordance with [N.”
Cline v. James Bane Home Bldg. (N.C. Ct. App. 2021). · cites it 15× “N.C.G.S. § 130A-41(b)(12) authorizes the powers and duties of local health directors, including the power and duty “[t]o employ and dismiss employees of the local health department in accordance with [N.”
— N.C. Gen. Stat. § 130A-41(2) — 1 case
Houck & Sons, Inc. v. Transylvania Cnty., 852 F. Supp. 442 (W.D.N.C. 1993). “§ 130A-41(2). Thus, defendants Pierce and McGinnis merely enforced rules governing the installation of residential septic systems that the Board of Health adopted verbatim from the Commission’s regulations.”
— N.C. Gen. Stat. § 130A-41(b)(12) — 4 cases
Gray v. Orange Cnty. Health Dep't, 457 S.E.2d 892 (N.C. Ct. App. 1995). “§ 126-37 and N.C.Gen.Stat. § 130A-41," and for a change of venue pursuant to N.”
Gray v. Laws, 915 F. Supp. 747 (E.D.N.C. 1994). “§ 130A-41(b)(12) (1992) provides that local health department directors have the authority “[t]o employ and dismiss employees of the local health department in accordance with Chapter 126 of the General Statutes.” Id. Chapter 126 of the North Carolina General Statutes…”
Cline v. James Bane Home Bldg. (N.C. Ct. App. 2021). “N.C.G.S. § 130A-41(b)(12) authorizes the powers and duties of local health directors, including the power and duty “[t]o employ and dismiss employees of the local health department in accordance with [N.”
Cline v. James Bane Home Bldg. (N.C. Ct. App. 2021). “N.C.G.S. § 130A-41(b)(12) authorizes the powers and duties of local health directors, including the power and duty “[t]o employ and dismiss employees of the local health department in accordance with [N.”
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