What happened: The board voted not to support the formation of a Lancaster County Health Department. Background: Manheim Township drafted a letter two months ago urging the county commissioners to form a countywide health department. Other municipalities were asked to join in support of the request. Why itâs important: Fulton Township supervisors unanimously opposed the idea of a countywide health department. They are against adding another level of bureaucracy and believe the ultimate cost would be charged to the municipalities.