By affirmative vote of:

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Terms Used In Nevada Revised Statutes 439.370

1.  The boards of county commissioners of two or more counties;

2.  The governing bodies of two or more cities or towns within any county; or

3.  The board of county commissioners and the governing body or bodies of any incorporated city or cities, town or towns, in such county, and with the approval of the State Board of Health, there may be created a health district with a health department consisting of a district health officer and a district board of health.