There has been a new case of babesiosis in an untraveled dog from Romford Essex. The patient was treated at Best Friends Veterinary Group at Romford and thanks to the excellent care and diagnosis received there has recovered. This case is some distance away from the original outbreak in Harlow, raising the possibility of a new focus of infection. PHE are starting to investigating as part of ongoing "one health" cooperation with ESCCAP UK & Ireland and APHA. Veterinary professionals in the area should be aware of the potential for further cases and vigilant for relevant IMHA type signs.