 By May 1940 there were plans for a bath and change block, attached to the nuns' quarters by a covered way, and a kitchen and laundry addition to the south of the hospital wards.Dr David William Johnson, the Medical Officer at Peel Island, visited Fantome in mid March 1940.He reported to Cilento that the diet was unsatisfactory for at least a month after arrival of the Peel Island patients, as the Palm Island authorities were unaware of importance of a good diet in the treatment of leprosy and poor weather prevented delivery of fresh produce.