UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

FORM N-Q

QUARTERLY SCHEDULE OF PORTFOLIO HOLDINGS OF REGISTERED
MANAGEMENT INVESTMENT COMPANY

Investment Company Act file number:__811-21702______

BlackRock Health Sciences Trust
(Exact name of registrant as specified in charter)

100 Bellevue Parkway, Wilmington, DE 
 
19809 
(Address of principal executive offices) 
 
(Zip code) 

Robert S. Kapito, President
BlackRock Health Sciences Trust
40 East 52nd Street, New York, NY 10022
(Name and address of agent for service)

Registrant's telephone number, including area code:_888-825-2257__________________

Date of fiscal year end:___October 31, 2007
Date of reporting period:__January 31, 2007


Item 1. Schedule of Investments.

The Registrant’s unaudited schedule of investments as of the close of the reporting period pursuant to Rule 30b1-5 under the Investment Company Act of 1940 is as follows:

PORTFOLIO OF INVESTMENTS (unaudited)
JANUARY 31, 2007
BlackRock Health Sciences Trust (BME)
(Percentage of Net Assets)

Shares   Description           Value
    LONG-TERM INVESTMENTS—90.2%        
    Common Stocks—90.2%        
    Biotechnology—15.4%        
16,000 1  Affymax, Inc.    
$
589,440
186,600 1  Alexion Pharmaceuticals, Inc.       7,756,962
52,000 1,2   Amgen, Inc.       3,659,240
99,500 1  Applera Corp. - Celera Group       1,578,070
88,600 1  Biogen Idec, Inc.       4,282,924
63,500 1  Genentech, Inc.       5,547,995
12,800 1  Integra LifeSciences Holdings Corp.       551,040
89,467 1  InterMune, Inc.       3,131,345
165,700 1  Kosan Biosciences, Inc.       1,183,098
34,200 1  Myriad Genetics, Inc.       1,222,308
26,700 1  NicOx S.A.       678,680
122,300 1  Regeneron Pharmaceuticals, Inc.       2,432,547
    Total Biotechnology       32,613,649
    Electronics—3.7%        
139,000 1  Waters Corp.       7,879,910
    Healthcare Products—29.8%        
27,400   Alcon, Inc.       3,226,624
91,200   Baxter Intl., Inc.       4,528,992
80,800   Becton Dickinson & Co.       6,216,752
57,600   Biomet, Inc.       2,439,936
24,300   Cooper Cos., Inc.       1,159,110
76,300 1  Cyberonics, Inc.       1,607,641
96,800   Dentsply Intl., Inc.       2,985,312
45,000   Edwards Lifesciences Corp.       2,302,200
119,700   Johnson & Johnson       7,995,960
118,200   Medtronic, Inc.       6,317,790
50,100 1  Northstar Neuroscience, Inc.       664,326
27,400 1  St. Jude Medical, Inc.       1,171,624
132,100   Stryker Corp.       8,182,274
17,100 1  Vanda Pharmaceuticals, Inc.       510,777
111,332 1  Varian Medical Systems, Inc.       5,135,745
194,400 1  Wright Medical Group, Inc.       4,255,416
47,900 1  Zimmer Holdings, Inc.       4,034,138
4,300 1  Zoll Medical Corp.       269,696
    Total Healthcare Products       63,004,313
    Healthcare Services—9.5%        
81,900   Aetna, Inc.       3,452,904
142,900 1  Community Health Systems, Inc.       5,108,675
56,000 1  DaVita, Inc.       3,057,600
19,300 1  Humana, Inc.       1,071,150
84,000   Manor Care, Inc.       4,472,160
4,000 1  Pediatrix Medical Group, Inc.       210,160
49,200   UnitedHealth Group, Inc.       2,571,192
    Total Healthcare Services       19,943,841
    Pharmaceuticals—31.8%        
108,200   Abbott Laboratories       5,734,600
17,900   Allergan, Inc.       2,089,109
342,038 1,2   BioMarin Pharmaceuticals, Inc.       6,478,200
54,800 1  Cardiome Pharma Corp.       625,816
107,800 1  Gilead Sciences, Inc.       6,933,696
181,8002   Merck & Co., Inc.       8,135,550
88,300   Novartis AG (ADR)       5,094,027
170,800   Pfizer, Inc.       4,481,792
105,300 1  Pharmion Corp.       3,353,805
55,650   Roche Holding AG       10,481,623
189,300   Schering-Plough Corp.       4,732,500
12,000   Shire Plc (ADR)       761,760
8,800 1  United Therapeutics Corp.       471,680

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BlackRock Health Sciences Trust (BME) (continued)
(Percentage of Net Assets)

Shares   Description           Value
    Pharmaceuticals—(cont'd)        
156,200   Wyeth    
$
7,717,842
    Total Pharmaceuticals       67,092,000
    Total Common Stocks (cost $168,261,738)       190,533,713
    SHORT-TERM INVESTMENTS—8.4%        
    Money Market Fund—3.0%        
6,370,689   Fidelity Institutional Money Market Prime Portfolio       6,370,689
Principal            
Amount            
    U.S. Government and Agency Discount Notes—5.4%        
$  11,500,000 3  Federal Home Loan Bank Discount Notes, 5.00%, 2/01/07       11,500,000
    Total Short-Term Investments (cost $17,870,689)       17,870,689
    Total investments before outstanding options written (cost $186,132,4274)       208,404,402
Contracts            
    OUTSTANDING OPTIONS WRITTEN—(0.6)%        
    OUTSTANDING CALL OPTIONS WRITTEN—(0.6)%        
(150)   Abbott Laboratories, strike price $50, expires 02/17/07       (48,000)
(250)   Abbott Laboratories, strike price $51.75, expires 03/30/07       (59,542)
(100)   Abbott Laboratories, strike price $55, expires 03/19/07       (5,500)
(20,000)   Aetna, Inc., strike price $43.50, expires 03/30/07       (24,720)
(40)   Alcon, Inc., strike price $115, expires 02/17/07       (18,400)
(20)   Alcon, Inc., strike price $120, expires 02/19/07       (4,200)
(400)   Alexion Pharmaceuticals, Inc., strike price $45, expires 03/17/07       (44,000)
(45)   Allergan, Inc., strike price $120, expires 03/17/07       (10,350)
(45)   Allergan, Inc., strike price $125, expires 02/17/07       (1,125)
(50)   Amgen, Inc., strike price $72.50, expires 02/19/07       (1,500)
(150)   Amgen, Inc., strike price $75, expires 04/21/07       (17,250)
(100)   Applera Corp. - Celera Group, strike price $15, expires 02/17/07       (11,000)
(50)   Applera Corp. - Celera Group, strike price $15, expires 03/17/07       (6,500)
(100)   Applera Corp. - Celera Group, strike price $17.50, expires 06/16/07       (7,500)
(50)   Baxter Intl., Inc., strike price $47.50, expires 02/17/07       (11,500)
(100)   Baxter Intl., Inc., strike price $50, expires 03/17/07       (12,000)
(100)   Baxter Intl., Inc., strike price $52.50, expires 05/19/07       (11,000)
(80)   Becton Dickinson & Co., strike price $75, expires 02/17/07       (20,000)
(100)   Becton Dickinson & Co., strike price $75, expires 03/17/07       (34,000)
(200)   Biogen Idec, Inc., strike price $55, expires 04/21/07       (9,000)
(250)   BioMarin Pharmaceuticals, Inc., strike price $17.75, expires 02/07/07       (35,446)
(200)   BioMarin Pharmaceuticals, Inc., strike price $20, expires 02/17/07       (10,000)
(500)   BioMarin Pharmaceuticals, Inc., strike price $20, expires 04/21/07       (100,000)
(150)   Cardiome Pharma Corp., strike price $12.50, expires 02/17/07       (3,750)
(150)   Cardiome Pharma Corp., strike price $15, expires 03/17/07       (3,000)
(22,000)   Community Health Systems, Inc., strike price $37, expires 03/16/07       (14,810)
(80,000)   Community Health Systems, Inc., strike price $39, expires 03/30/07       (25,596)
(10)   Community Health Systems, Inc., strike price $40, expires 03/17/07       (200)
(50)   Cooper Cos., Inc., strike price $55, expires 02/17/07       (500)
(115)   Cyberonics, Inc., strike price $25, expires 04/21/07       (13,225)
(100)   DaVita, Inc., strike price $60, expires 04/21/07       (5,500)
(300)   Dentsply Intl., Inc., strike price $32.50, expires 3/23/07       (12,046)
(100)   Edwards Lifesciences Corp., strike price $50, expires 02/17/07       (18,000)
(182)   Edwards Lifesciences Corp., strike price $50, expires 03/17/07       (43,680)
(50)   Genentech, Inc., strike price $90, expires 02/17/07       (2,000)
(100)   Genentech, Inc., strike price $90, expires 03/17/07       (13,500)
(200)   Gilead Sciences, Inc., strike price $67.50, expires 02/17/07       (12,000)
(100)   Gilead Sciences, Inc., strike price $70, expires 02/17/07       (2,000)
(30)   Humana, Inc., strike price $55, expires 02/17/07       (6,150)
(120)   InterMune, Inc., strike price $40, expires 03/17/07       (12,000)
(20,000)   Johnson & Johnson, strike price $67.50, expires 02/16/07       (3,432)
(230)   Manor Care, Inc., strike price $55, expires 05/19/07       (36,800)
(100)   Medtronic, Inc., strike price $55, expires 02/17/07       (2,500)
(100)   Medtronic, Inc., strike price $55, expires 03/17/07       (8,000)
(100)   Medtronic, Inc., strike price $55, expires 05/19/07       (15,000)
(50)   Myriad Genetics, Inc., strike price $35, expires 02/17/07       (8,000)
(100)   Novartis AG (ADR), strike price $60, expires 02/17/07       (3,000)

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BlackRock Health Sciences Trust (BME) (continued)
(Percentage of Net Assets)

Contracts   Description           Value
    OUTSTANDING CALL OPTIONS WRITTEN—(cont'd)        
(250)   Novartis AG (ADR), strike price $60, expires 04/21/07    
$
(25,000)
(330)   Pfizer, Inc., strike price $27.50, expires 02/19/07       (1,650)
(100)   Pharmion Corp., strike price $30, expires 02/17/07       (25,500)
(100)   Pharmion Corp., strike price $30, expires 03/17/07       (33,000)
(11,000)   Roche Holding AG, strike price 242.20 CHF, expires 04/03/07       (27,481)
(53,000)   Schering-Plough Corp., strike price $24, expires 02/16/07       (52,669)
(400)   Schering-Plough Corp., strike price $25, expires 03/17/07       (28,000)
(50)   St. Jude Medical, Inc., strike price $45, expires 04/21/07       (7,500)
(150)   Stryker Corp., strike price $60, expires 02/17/07       (37,500)
(100)   Stryker Corp., strike price $60, expires 03/19/07       (33,000)
(50)   Stryker Corp., strike price $65, expires 06/16/07       (10,500)
(100)   UnitedHealth Group, Inc., strike price $60, expires 03/17/07       (1,000)
(165)   Varian Medical Systems, Inc., strike price $50, expires 02/17/07       (1,650)
(130)   Waters Corp., strike price $50, expires 02/17/07       (92,300)
(100)   Waters Corp., strike price $55, expires 03/17/07       (29,000)
(29)   Waters Corp., strike price $60, expires 05/19/07       (5,510)
(400)   Wright Medical Group, Inc., strike price $25, expires 02/17/07       (6,000)
(250)   Wyeth, strike price $52.50, expires 04/21/07       (10,000)
(100)   Zimmer Holdings, Inc., strike price $80, expires 03/17/07       (54,000)
(75)   Zimmer Holdings, Inc., strike price $85, expires 03/19/07       (14,250)
    Total Outstanding Call Options Written (premium received ($1,231,039))       (1,262,732)
    OUTSTANDING PUT OPTIONS WRITTEN—0.0%        
(130)   Aetna, Inc., strike price $40, expires 02/17/07       (5,200)
(130)   Amgen, Inc., strike price $70, expires 02/17/07       (10,400)
(80)   Becton Dickinson & Co., strike price $70, expires 02/17/07       (800)
(100)   Biogen Idec, Inc., strike price $45, expires 02/17/07       (3,500)
(250)   BioMarin Pharmaceuticals, Inc., strike price $17.50, expires 02/17/07       (10,000)
(50)   Genentech, Inc., strike price $85, expires 02/17/07       (2,500)
(120)   Johnson & Johnson, strike price $65, expires 02/17/07       (1,200)
(50)   Stryker Corp., strike price $55, expires 02/17/07       (250)
(20,000)   Varian Medical Systems, Inc., strike price $47.50, expires 02/16/07       (35,760)
    Total Outstanding Put Options Written (premium received ($75,933))       (69,610)
    Total outstanding options written (premium received ($1,306,972))       (1,332,342)
    Total investments net of outstanding options written—98.0%       $ 207,072,060
    Other assets in excess of liabilities—2.0%       4,190,935
 
 
    Net Assets—100.0%    
$
211,262,995

1     

Non-income producing security.

 
2     

Security, or a portion thereof, pledged as collateral for outstanding options written.

 
3     

Rate shown is the yield to maturity as of the date of purchase.

 
4     

Cost for federal income tax purposes is $187,375,525. The net unrealized appreciation on a tax basis is $21,028,877, consisting of $21,715,519 gross unrealized appreciation and $686,642 gross unrealized depreciation.

 

KEY TO ABBREVIATIONS
ADR  — American Depositary Receipt
CHF — Swiss Franc

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Item 2. Controls and Procedures.

(a) The Registrant's principal executive and principal financial officers have evaluated the Registrant's disclosure controls and procedures within 90 days of this filing and have concluded, as of that date, that the Registrant’s disclosure controls and procedures were reasonably designed to ensure that information required to be disclosed by the Registrant in this Form N-Q was recorded, processed, summarized, and reported within the required time periods and that information to be disclosed by the Registrant in this Form N-Q was accumulated and communicated to the Registrant’s management, including its principal executive and principal financial officers, as appropriate, to allow timely decisions regarding required disclosure.

(b) There were no changes in the Registrant's internal control over financial reporting (as defined in Rule 30a-3(d) under the 1940 Act (17 CFR 270.30a -3(d)) that occurred during the Registrant's last fiscal quarter that have materially affected, or are reasonably likely to materially affect, the Registrant's internal control over financial reporting.

Item 3. Exhibits.

Separate certifications of the Registrant’s Principal Executive and Financial Officers pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 are attached as EX-99.CERT.

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SIGNATURES

          Pursuant to the requirements of the Securities Exchange Act of 1934 and the Investment Company Act of 1940, the Registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.

(Registrant) BlackRock Health Sciences Trust

By: /s/ Donald C. Burke                                       
Name: Donald C. Burke
Title: Treasurer and Principal Financial Officer
Date: March 28, 2007

          Pursuant to the requirements of the Securities Exchange Act of 1934 and the Investment Company Act of 1940, this report has been signed below by the following persons on behalf of the Registrant and in the capacities and on the dates indicated.

By: /s/ Robert S. Kapito                                       
Name: Robert S. Kapito
Title: President and Principal Executive Officer
Date: March 28, 2007

By: /s/ Donald C. Burke                                       
Name: Donald C. Burke
Title: Treasurer and Principal Financial Officer
Date: March 28, 2007

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