Vacancies in the hospital district board of trustees occasioned by resignations, removals or otherwise, including vacancies prior to the first general election following enactment of this chapter, shall be reported to the board of county commissioners and shall be filled by appointment by the board of county commissioners. Appointees shall hold office until the next following general election in the usual manner. (1983 Code § 2.10.070; amd. 2003 Code)