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If you have food allergies, there is a good chance you have seasonal allergies too. In fact, more than 24 million Americans have seasonal allergies. 

Some places in the U.S. can be more challenging to live in if you have spring pollen allergies. To show how much impact spring allergies can have, the Asthma and Allergy Foundation of America (AAFA) has released the 2018 Spring Allergy Capitals™ Report. Kids With Food Allergies (KFA) is a division of AAFA.

The report ranks the top 100 cities in the nation for spring allergies. AAFA calculates the rankings based on:

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

McAllen, Texas, is the No. 1 most challenging place to live in for spring allergies in 2018. High pollen, high allergy medicine use and a lower number of allergy specialists made it #1 for this year.

The top 10 most challenging places to live with spring allergies in 2018 are:

  1. McAllen, Texas
  2. Louisville, Kentucky
  3. Jackson, Mississippi
  4. Memphis, Tennessee
  5. San Antonio, Texas
  6. Providence, Rhode Island
  7. Dayton, Ohio
  8. Syracuse, New York
  9. Oklahoma City, Oklahoma
  10. Knoxville, Tennessee


“Our Spring Allergy Capitals report is a valuable tool to help identify cities where seasonal allergy symptoms can create challenges,” says Kenneth Mendez, President and CEO of AAFA. “This report helps people in these areas be more aware of what may contribute to their allergy symptoms so they can work with their health care providers to get relief. With the right treatment plan, seasonal allergies can be managed for better quality of life.”

Relief is possible for pollen allergies. No matter where you live, allergy treatment can help you. See a board-certified allergist for testing.

How Can I Learn 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 who experience them. 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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