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Allergies Health Center

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Worst Cities for Spring Allergies in 2012

Knoxville Leads List for a Third Straight Year; 8 Out of 10 Top Spots Are in the South
By Cari Nierenberg
WebMD Health News
Reviewed by Laura J. Martin, MD

March 20, 2012 -- The third time is said to be the charm. But it's doubtful the allergy sufferers in Knoxville find it charming that for a third consecutive year their East Tennessee city has earned the No. 1 spot on the list of the worst places to live with spring allergies.

Knoxville natives have had plenty to sneeze at each spring. In 2009, Tennessee’s third largest city placed second in this annual ranking of the 100 "most challenging places to live in the U.S. with spring allergies." And in 2008, the “Marble City" took the sixth spot in this listing, which is done twice a year -- in spring and fall -- by the Asthma and Allergy Foundation of America.

Several factors are considered when ranking each of the 100 largest metro areas, including pollen scores, number of allergy medicines used per patient, and the number of board-certified allergists per patient.

To top the list, Knoxville had "worse than average" pollen counts as well as utilization rates for allergy medications. But it received an "average" score on its number of allergy specialists available to treat patients with allergy-related symptoms, from runny noses and frequent sneezing to watery eyes and sinus congestion.

Here are the worst 10 cities for spring allergies:

  1. Knoxville, Tenn.
  2. McAllen, Texas
  3. Louisville, Ky.
  4. Jackson, Miss.
  5. Wichita, Kan.
  6. Oklahoma City, Okla.
  7. Chattanooga, Tenn.
  8. Memphis, Tenn.
  9. San Antonio, Texas
  10. Dayton, Ohio

For a complete listing of the top 100 allergy cities for spring, visit

Spring in Knoxville

The news that Knoxville has topped the list of most challenging places to live with spring allergies for a third time comes as no surprise to Allan Rosenbaum, MD, an ear, nose, and throat specialist in Knoxville who also treats allergy patients. "A lot has to do with the blessings of east Tennessee," he says.

"It's a beautiful place to live," explains Rosenbaum, "and few places in the U.S. have the variety of plant life." A great variety of trees are blooming right now in Knoxville, including its oaks, hickories, and some maples, he says.

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