As a U.S. state, Ohio participates in the international "Sister State" program to foster cultural and economic ties. Additionally, its major cities have extensive sister city networks.
* **Sister States/Provinces:** * Saitama Prefecture, Japan * Hubei Province, China * Paraná, Brazil * Gyeongsangbuk-do, South Korea * **Notable City Partnerships:** * *Columbus:* Genoa (Italy), Dresden (Germany), Odense (Denmark) * *Cleveland:* Rouen (France), Volgograd (Russia), Alexandria (Egypt) * *Cincinnati:* Munich (Germany), Kharkiv (Ukraine), Liuzhou (China)