As spring blossoms, so do allergies, especially in Southeastern cities.
This year, spring allergies have been worst in Lexington, Ky., according to the Asthma and Allergy Foundation of America's (AAFA) annual ranking. Rankings are based on annual pollen scores, allergy medicine use per patient, and the number of board-certified allergists per patient, says the AAFA.
Here is the AAFA's list of the 100 worst U.S. cities for spring allergies:
1. Lexington, Ky. (last year: 16)
2. Little Rock, Ark. (last year: 8)
3. Chattanooga, Tenn. (last year: 14)
4. Louisville, Ky. (last year: 3)
5. Johnson City, Tenn. (last year: 26)
6. Greenville, S.C. (last year: 19)
7. Richmond, Va. (last year: 63)
8. Charlotte, N.C. (last year: 4)
9. Jackson, Miss. (last year: 12)
10. St. Louis (last year: 5)
11. Knoxville, Tenn. (last year: 9)
12. Greensboro, N.C. (last year: 25)
13. Raleigh, N.C. (last year: 31)
14. Albuquerque, N.M. (last year: 34)
15. Birmingham, Ala. (last year: 49)
16. Washington, D.C. (last year: 97)
17. Omaha, Neb. (last year: 70)
18. Tulsa, Okla. (last year: 13)
19. Oklahoma City (last year: 47)
20. Atlanta (last year: 1)
21. Columbia, S.C. (last year: 17)
22. San Antonio (last year: 21)
23. Madison, Wis. (last year: 29)
24. Memphis, Tenn. (last year: 28)
25. Philadelphia (last year: 23)
26. Austin, Texas (last year: 6)
27. Augusta, Ga. (last year: 2)
28. Las Vegas (last year: 38)
29. Baton Rouge, La. (last year: 51)
30. Wichita, Kan. (last year: 30)
31. Charleston, S.C. (last year: 41)
32. Allentown, Penn. (last year: 10)
33. Indianapolis (last year: 33)
34. New Orleans (last year: 62)
35. Minneapolis-St. Paul (last year: 37)
36. Dallas-Fort Worth (last year: 18)
37. Kansas City, Mo. (last year: 36)
38. Dayton, Ohio (last year: 72)
39. Columbus, Ohio (last year: 74)
40. Salt Lake City (last year: 52)
41. Tucson, Ariz. (last year: 40)
42. Syracuse, N.Y. (last year: 76)
43. Albany, N.Y. (last year: 85)
44. Mobile, Ala. (last year: 60)
45. Tampa, Fla. (last year: 27)
46. Kalamazoo, Mich. (last year: 43)
47. Boston (last year: 32)
48. Modesto, Calif. (last year: 58)
49. Hartford, Conn. (last year: 35)
50. Houston (last year: 20)
51. Nashville, Tenn. (last year: 15)
52. Des Moines, Iowa (last year: 39)
53. Lansing, Mich. (last year: 46)
54. Denver (last year: 93)
55. Scranton, Pa. (last year: 59)
56. Orlando, Fla. (last year: 11)
57. Stockton, Calif. (last year: 61)
58. Baltimore (last year: 42)
59. Pensacola, Fla. (last year: 68)
60. Buffalo, N.Y. (last year: 90)
61. Fresno, Calif. (last year: 86)
62. Sacramento, Calif. (last year: 73)
63. Boise City, Idaho (last year: 88)
64. Providence, R.I. (last year: 64)
65. Jacksonville, Fla. (last year: 22)
66. Harrisburg, Pa. (last year: 54)
67. Cincinnati (last year: 71)
68. Rochester, N.Y. (last year: 80)
69. Phoenix-Mesa (last year: 50)
70. Norfolk, Va. (last year: 94)
71. Toledo, Ohio (last year: 53)
72. El Paso, Texas (last year: 66)
73. Milwaukee (last year: 65)
74. Fort Wayne, Ind. (last year: 44)
75. Grand Rapids, Mich. (last year: 45)
76. McAllen, Texas (last year: 24)
77. Colorado Springs, Colo. (last year: 89)
78. Canton, Ohio (last year: 55)
79. Fort Myers, Fla. (last year: 87)
80. Detroit (last year: 69)
81. Lancaster, Pa. (last year: 67)
82. West Palm Beach, Fla. (last year: 79)
83. Pittsburgh (last year: 56)
84. Chicago (last year: 95)
85. Portland, Ore. (last year: 81)
86. Springfield, Mass. (last year: 7)
87. Melbourne, Fla. (last year: 84)
88. New York (last year: 48)
89. Sarasota, Fla. (last year: 78)
90. San Diego (last year: 96)
91. Youngstown, Ohio (last year: 75)
92. Seattle (last year: 91)
93. San Francisco (last year: 82)
94. Daytona Beach, Fla. (last year: 92)
95. Bakersfield, Calif. (last year: 57)
96. Cleveland (last year: 77)
97. Spokane, Wash. (last year: 98)
98. South Bend, Ind. (no ranking last year)
99. Los Angeles (last year: 99)
100. Miami (last year: 100)
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