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It’s common for children with food allergies – and their parents – to also have seasonal allergies. This means you not only have to avoid food allergy reactions, but you have to manage their pollen allergies too.

The Asthma and Allergy Foundation of America (AAFA) has released the 2020 Allergy Capitals™ report. It ranks the top 100 most challenging cities in the U.S. for seasonal allergies. Kids With Food Allergies (KFA) is a division of AAFA.

AAFA ranked the cities based on three factors:

  • Spring and fall pollen counts
  • Use of allergy medicines
  • Availability of board-certified allergists

Richmond, Virginia, topped our 2020 list for the most challenging city for allergies overall in the U.S. The full report of the top 100 areas also includes separate rankings for spring and fall allergies.

The top 10 most challenging cities overall to live in with seasonal allergies in 2020 are:

  1. Richmond, Virginia
  2. Scranton, Pennsylvania
  3. Springfield, Massachusetts
  4. Hartford, Connecticut
  5. McAllen, Texas
  6. New Haven, Connecticut
  7. San Antonio, Texas
  8. Bridgeport, Connecticut
  9. Oklahoma City, Oklahoma
  10. Pittsburgh, Pennsylvania

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“For more than 50 years, the prevalence of allergic diseases has risen and it’s no coincidence that during the same time, pollen seasons have become stronger and longer due to warmer temperatures,” says Kenneth Mendez, AAFA CEO and president. “The Allergy Capitals report helps raise awareness about the impact of seasonal allergies, how people can prepare and start proper treatment. Local communities can also use the report as a tool to identify how to better meet the needs of their residents living with allergies and allergic asthma.”

If you think your child has a seasonal pollen allergy, talk to your allergist to make sure they are on a treatment plan. Treating seasonal allergies can help improve your child's quality of life.

Visit to see where your city ranks and for ways to manage spring and fall pollen allergies.

How Can I Find Out More About the Report?

The Allergy Capitals™ ranking is an annual research and education project from AAFA. We release the report to help people recognize, prevent and safely treat allergy symptoms. Through this ranking, AAFA raises awareness about the impact of spring and fall seasonal allergies. It provides helpful information that can improve the quality of life for people living with seasonal allergies.

Visit to see the full list and to learn more about allergy diagnosis, prevention and treatment.

Join our online community where you can get support for your child’s food allergies, pollen allergies and asthma and stay up to date on news and research.

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