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The Asthma and Allergy Foundation of America (AAFA) has released the 2019 Spring Allergy Capitals™ report ranking the top 100 most challenging cities in the U.S. for spring allergies. Kids With Food Allergies (KFA) is a division of AAFA.

AAFA ranked the cities based on three factors:

  • Pollen counts
  • Use of allergy medicines
  • Availability of board-certified allergists

McAllen, Texas, is our #1 spring allergy capital for 2019. (It was also our #1 2018 Spring Allergy Capital). 

The top 10 most challenging places to live with spring allergies in 2019 are:

  1. McAllen, Texas
  2. Jackson, Mississippi
  3. Providence, Rhode Island
  4. Memphis, Tennessee
  5. Springfield, Massachusetts
  6. Louisville, Kentucky
  7. New Orleans, Louisiana
  8. Scranton, Pennsylvania
  9. Baton Rouge, Louisiana
  10. Richmond, Virginia


“Spring allergies can cause a lot of misery for millions of people in the U.S.,” says Kenneth Mendez, AAFA President and CEO. “Our Spring Allergy Capitals Report highlights the cities that face the most challenges due to high pollen counts, high allergy medicine use and lower access to specialized care by allergists.” 

With the right management and help from a board-certified allergist, you can get relief from seasonal allergies no matter where you live. 

Visit allergycapitals.com to see where your city ranks and for ways to get through the season.

How Can I Find Out More About the Report?

The Spring Allergy Capitals™ ranking is an annual research and educational project of AAFA. It is designed to help patients recognize, prevent and safely treat allergy symptoms. Through this ranking, AAFA raises awareness about the impact of seasonal allergies. It provides helpful information that can improve the quality of life for people living with seasonal allergies. The ranking is based on local pollen levels, use of allergy medicine and the number of board-certified allergists in each metro area. Visit allergycapitals.com to see the full list, study methodology and to learn more about allergy diagnosis, prevention and treatment.

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