 Hayes believed that suspect cases could be isolated and treated on the mainland, as there was no STI specialist to evaluate the cases as they arrived on Fantome Island.Upon the closure of the Fantome Island Lock Hospital on 31 August 1945, 13 patients were transferred to the existing hospital on Palm Island, and some buildings were later removed to Palm Island for a new lock hospital and other purposes.Julian's role on Fantome Island ended at this point.