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Due in part to strong institutional collaborations and industry presence, the United States has maintained its lead in health sciences, with the Boston metropolitan area (MA) taking the top
spot with a Share of 676.43. However, the Massachusetts capital — which is home to numerous biotech companies, leading universities, and more than 20 hospitals — is the only US city within
the top 10 to have recorded an increase in adjusted Share between 2022 and 2023 (+6.6%). The New York MA and Baltimore–Washington, the 2nd and 3rd-ranked cities, respectively, have both
recorded minor declines in their adjusted Share since 2022, while the San Francisco Bay Area, in 5th place after the London MA, has recorded a decrease in adjusted Share of 13.2% between
2022 and 2023. This article is part of Nature Index 2024 Science cities, a supplement produced with financial support from the Beijing Municipal Science & Technology Commission,
Administrative Commission of Zhongguancun Science Park. _Nature_ maintains full independence in all editorial decisions related to the content. For more information about Nature Index, see
the homepage.
