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Scotland County Board of Health appoints Amanda Holland as temporary health director, approves NHANES partnership

Scotland County Board of Health ยท April 6, 2026

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Summary

At its April 6 meeting the Scotland County Board of Health voted to appoint Amanda Holland as temporary health department director (subject to required state approval) and approved participation as a regional site for the CDC27s NHANES mobile exam unit; the board also received an accreditation update noting conditional status with 114 of 147 activities met.

Scotland County27s Board of Health on April 6 voted to appoint Amanda Holland as temporary health department director and approved the county27s participation as a regional site in the National Health and Nutrition Examination Survey (NHANES), officials said.

Amanda Holland, who presented an accreditation update to the board, said the site visit team "recommended a status of conditional accreditation. They designated that 114 out of a 147 activities as being met." Holland told the board the department will have two years to complete a continuous quality improvement plan and has created a task tracker that assigns lead and support staff to unresolved activities.

The accreditation review, Holland said, identified strengths in policy development and opportunities for improvement in assessment, assurance, facilities and governance. She also outlined five priorities for a consolidated strategic plan the department aims to finalize by July 1, 2026: promoting healthy behaviors, advancing health equity through community-led solutions, emergency preparedness for disasters and outbreaks, workforce stability and improved internal and external communication.

Holland described the NHANES program, which is run by the Centers for Disease Control and Prevention. "This is essentially an opportunity for Scotland County to engage in a nationwide survey of collection of data," she said, explaining that randomly selected residents would receive a home visit (about one hour) to determine eligibility and, if selected, complete a roughly two-hour exam and interview at a mobile exam unit. "This is at no cost to the county," Holland added, saying NHANES reimburses any utility hookups and compensates participants. A board member who served on the county advisory committee recommended approval as a regional site, noting potential community benefits from visitors to the mobile unit.

The board moved and voted to approve the NHANES partnership.

On personnel, a board member identified as April said she had "been serving in that role as interim" and told members that the appointment of a health director or interim health director must be approved by the state. The board27s Chair moved to appoint Amanda Holland as a temporary health department director; the motion was seconded and the board voted in favor. The appointment is subject to any required state approval.

The meeting concluded with brief procedural business: the board approved the agenda and corrected the minutes to reflect the Feb. 2 meeting date. The chair adjourned the board until its next scheduled meeting on June 1, 2026 at 6:00 p.m.

Notes: The board was presented with the site visit report (site visit concluded March 5; report received March 19) and mobile unit specifications for NHANES in the meeting packet. No estimated cost to the county was reported for hosting NHANES; Holland stated NHANES reimburses hookup costs and provides participant compensation.