Determination That A Public Health
Emergency Exists

As a result of the consequences of Hurricane Florence on the States of North Carolina and South Carolina, on this date and after consultation with public health officials as necessary, I, Alex M. Azar II, Secretary of Health and Human Services, pursuant to the authority vested in me under section 319 of the Public Health Service Act, do hereby determine that a public health emergency exists and has existed since September 7, 2018, in the State of North Carolina, and since September 8, 2018, in the State of South Carolina.