False. Major cities are distributed across every continent and hemisphere. The "East" bias comes from:
| Region | Examples |
|---|---|
| East Asia | Tokyo, Seoul, Shanghai, Beijing, Osaka, Guangzhou, Shenzhen, Taipei |
| South Asia | Delhi, Mumbai, Kolkata, Dhaka, Karachi, Lahore, Bangalore, Chennai |
| Southeast Asia | Jakarta, Manila, Bangkok, Ho Chi Minh City, Kuala Lumpur |
| Europe | London, Paris, Moscow, Istanbul, Madrid, Milan, Ruhr, Barcelona |
| North America | NYC, LA, Chicago, Dallas, Houston, Toronto, Mexico City, Miami, DC, Philly |
| South America | São Paulo, Buenos Aires, Rio, Bogotá, Lima, Santiago |
| Africa | Cairo, Lagos, Kinshasa, Luanda, Johannesburg, Khartoum, Abidjan |
| Oceania | Sydney, Melbourne, Brisbane, Perth, Auckland |