Cherry blossoms on city sidewalk
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Is Your Town on the List?

Spring has sprung, and so have the sneezes and sniffles that come along with it. Every year, the Asthma and Allergy Foundation of America (AAFA) ranks the 100 largest U.S. metro areas by pollen count, allergy medicine use, and allergy doctors. Has your town made the list for the 10 worst "spring allergy capitals"? You might be surprised: They aren't all in the South!

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buffalo ny
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No. 10: Buffalo, N.Y.

The second largest city in New York leaps into the top 10 from No. 36 in 2015. Super-high pollen scores and above-average use of allergy meds secured its place. This Niagara Falls neighbor has the sunniest and driest springs in the Northeast. That means pollen sticks around longer -- and has more time to make your eyes water. Buffalo has flirted with higher rankings before. It placed 15th 3 years ago.

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knoxville tn
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No. 9: Knoxville, TN

Its pollen levels are on par with most other cities, but people here use more allergy meds than average. That's kept this Tennessee River city in the top 10 this year. If spring makes you sneeze here, pollen from oak, birch, and maple box elder trees are likely to blame. To make things worse, the surrounding mountains trap pollen in the valley. 

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providence ri
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No. 8: Providence, R.I.

This northeastern city has once again earned a top 10 spot. (In 2015, it was No. 9.) Oddly, the American Academy of Allergy, Asthma & Immunology doesn't have a pollen counter stationed here. But the city’s daily average temps are heading up. This helps plants grow and make more pollen. This year's report found average levels of the sneeze-worthy yellow dust. But the city had higher use of allergy meds and a lower number of allergy doctors.

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No. 7: Oklahoma City, OK

The Sooner State capital drops several slots from No. 3 last year. Yet it still has high pollen scores, thanks to lots of sunshine and trees. Blame your springtime sneezes here on oak, mulberry, poplar, aspen, and sycamore, among others. Warm, dry, breezy days send pollen counts up. The tiny grains can float for miles in the wind. If you've been outside when the count is high, quickly shed your clothes and hit the shower when you get home. 

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wichita ks
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No. 6: Wichita, KS

The largest city in Kansas inches up one spot on this year's list. Weeds and grasses trigger itchy, watery eyes and sneezing in this Midwestern town. Wichita's ranking is based on higher-than-average pollen counts and increased use of allergy medicines. The city also has a lower-than-average number of allergy doctors.

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Sunset in McAllen, Texas
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No. 5: McAllen, TX

This city perched in the Rio Grande Valley has teetered mid-list for the last few years. Pollen from mountain cedar trees hundreds of miles away rides in on the breeze to kick off sneeze season early here. Later on, grasses and other native plants like mesquite and huisache join in. Dry weather adds to the sniffle factor. McAllen gets only about 26 inches of rain a year. That doesn’t do much to help wash away the pollen.

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Churchill Downs before the Kentucky Derby
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No. 4: Louisville, KY

Kentucky's famous bluegrass creates more pollen than any other grass in the U.S. That makes it a world-class allergy trigger. If you have grass allergies, your symptoms will spike here in late spring and early summer. There's some good news for spring sneezers: Louisville's status as an allergy capital is improving. Last year it ranked as the second-worst place in the country for spring allergies. In 2014, it was the top offender. 

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syracuse ny
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No. 3: Syracuse, N.Y.

It's known as the Crossroads of New York State, and it vaults into the top 3 after ranking 20th last year. Super-high pollen scores played a role in its surprise appearance. The region is home to tons of hardwood trees, many used to make furniture. Pollen from oak and elm lead to seasonal sniffles and itchy, watery eyes.

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beale street in memphis
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No. 2: Memphis, TN

Got allergies? You’ll be singin' the blues here during springtime. After a short stint at 4th place last year, Memphis returns to the No. 2 spot once again. Trees that give off spring pollen thrive in this city's warm days and cool nights. The area also makes the list for worst places to live for people with asthma. Close the windows and turn on the AC to breathe easier.

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Riverbend in  Jackson, Mississippi
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No. 1: Jackson, MS

For the second year, the City with Soul is the worst place in the U.S. for spring allergies. Oak, ash, elm, and hickory trees cover more than half of this southern state. The result: layers of springtime pollen that’ll keep you reaching for the tissues. Jackson kept its first-place spot due to soaring pollen counts and use of allergy meds. Unlike others in the top 10, this city has a higher-than-average number of allergy doctors.

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Sources | Medically Reviewed on 03/21/2018 Reviewed by Sabrina Felson, MD on March 21, 2018


1) Plattform / Johner Images
2) Jeff Auth / Moment 
3) Dave Long / Getty
4) David Liu / Getty
5) Davel5957 / Getty
6) Dan Montalvo / flickr photostream
7) Sean Pavone / Getty
8) Terra Images
9) Richard Cummins/Lonely Planet Images
10) Molly Riley/Reuters/Corbis
12) John Stephenson / iStock / 360


American Academy of Allergy, Asthma & Immunology: "Hay Fever Medications," "Outdoor Allergens: Tips to Remember."

American College of Asthma, Allergy & Immunology:  "Global Warming Increases Misery for Nation's 50 Million Allergy Sufferers," "The Rise of Spring Allergies: Fact or Fiction?" “Keep Your Green Thumb, Avoid the Red Nose.”

ABC News: "Top 100 Spring Allergy Cities."

Asthma and Allergy Foundation of America: “Allergy Capitals," "Spring Allergy Capitals 2014,"  "More to Asthma Than Meets the Air," "Allergic Asthma," "Pollen and Mold Counts," “Indoor Air Quality and Allergies,” “Gardening With Allergies.”

Birmingham News: "Winter has come and gone (but who knew)?"

Dallas News: "Dallas ranked 23rd worst U.S. city for allergies — how to defend yourself against mountain cedar & its high pollen buddies."

Monitor: "Allergies a headache for many this time of year."

Shea Clinic: "Allergy Alert: Grab a Tissue."

James L. Sublett, MD, allergist, co-founder, Family Allergy & Asthma, Louisville, KY; president,  American College of Allergy, Asthma & Immunology.

Texas MedClinic: "Symptoms and Remedies for Cedar Fever."

Reviewed by Sabrina Felson, MD on March 21, 2018

This tool does not provide medical advice. See additional information.

THIS TOOL DOES NOT PROVIDE MEDICAL ADVICE. It is intended for general informational purposes only and does not address individual circumstances. It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health. Never ignore professional medical advice in seeking treatment because of something you have read on the WebMD Site. If you think you may have a medical emergency, immediately call your doctor or dial 911.