 An influx of patients resulted in the approval of extensions and additions to the lock hospital in 1931, and two cases of suspected Hansen's disease were also tested and found to be positive.During 1932 a number of cases of STI and Hansen's disease contacts were sent to Fantome Island for observation after Dr Raphael West Cilento, the Federal Director of the Division of Tropical Hygiene for Queensland, had inspected coastal camps between Townsville and Cairns and on the Atherton Tablelands.In 1934 Cilento became Director-General of Health and Medical Services within Queensland's Department of Health and Home Affairs (DHHA); a position he held until 1946.