Vt. Stat. tit. 18 § 622
The Commissioner shall have power to designate a local health officer of a town adjoining an unorganized town or gore as the local health officer of such unorganized town or gore. Such health officer shall report to the Commissioner every violation of this title or any rule adopted, permit or order issued pursuant to this title, and any public health hazard or public health risk of which such officer has knowledge as existing in such unorganized town or gore and, in such unorganized town or gore, shall perform all acts required of the local health officer of a town. Upon receiving such information from such health officer, the Commissioner shall perform all acts in relation to such cases the same as if such information came from the local health officer of a town.
18 V.S.A. § 622