 In August 1940 Cilento complained to the Under Secretary of the DHHA (CE Chuter) about the "very grave deficiency in medical attention" at both Peel Island and Fantome Island.Cilento claimed that there was a lack of knowledge about leprosy amongst the staff on Fantome Island, since Dr Croll's services had ended due to illness, and Dr Geoffry Courtney had been called up.Further training of the nuns had thus far not occurred.