If the local board of health or other official responsible for appointing a local health officer under RCW
70.05.050 refuses or neglects to appoint a local health officer after a vacancy exists, the secretary of health may appoint a local health officer and fix the compensation. The local health officer so appointed shall have the same duties, powers and authority as though appointed under RCW
70.05.050. Such local health officer shall serve until a qualified individual is appointed according to the procedures set forth in RCW
70.05.050. The board or official responsible for appointing the local health officer under RCW
70.05.050 shall also be authorized to appoint an acting health officer to serve whenever the health officer is absent or incapacitated and unable to fulfill his or her responsibilities under the provisions of chapters
70.05 and
70.46 RCW.