The 2025 Allergy Capitals Report: A State-by-State Breakdown

The sneezing, the itchy eyes, the runny nose – for millions of Americans, spring isn’t a time of blooming flowers, but a season of relentless allergy symptoms. A newly released “Allergy Capitals” report by the Asthma and Allergy Foundation of America (AAFA) identifies the metropolitan areas across the United States where seasonal allergies are expected to be the most severe in 2025.

According to the report, released in March 2025, over 100 million people in the U.S. grapple with allergies, with a significant portion experiencing seasonal pollen allergies. The AAFA’s annual report analyzes the 100 most populous cities in the United States, considering factors like pollen scores, allergy medication usage, and the availability of board-certified allergists.

“Identifying the most challenging cities for living with seasonal allergies” is the goal of the report, according to the association’s website.

This year’s report highlights a concerning trend: pollen seasons are becoming longer and more intense, impacting millions of Americans. Climate change, with its rising temperatures and altered weather patterns, is believed to be a significant contributor to this phenomenon. This means that allergy sufferers can expect to experience symptoms for a greater portion of the year, potentially leading to increased healthcare costs and a diminished quality of life.

The Top 10 Worst Cities for Spring Allergies in 2025

If you live in one of these cities, prepare for a potentially challenging allergy season:

1. wichita, Kansas
2. New Orleans, Louisiana
3. Oklahoma City, Oklahoma
4. Tulsa, Oklahoma
5. Memphis, tennessee
6. Little Rock, Arkansas
7. Raleigh, North Carolina
8. Richmond, Virginia
9. Greenville, South Carolina
10. Greensboro, North Carolina

These cities consistently rank high due to a combination of factors, including high pollen counts from trees, grasses, and weeds, and also climatic conditions that favor pollen dispersal. As a notable example, Wichita’s location in the Great Plains exposes it to a wide variety of pollens carried by the wind. New Orleans, with its humid climate, provides an ideal surroundings for mold growth, exacerbating allergy symptoms.

Dr. Emily Carter, a leading allergist at the Allergy & Asthma Center of the Plains in Wichita, Kansas, explains, “Wichita’s unique geographical location makes it a melting pot for allergens.We see patients reacting to everything from ragweed to cedar, making it a challenging place for allergy sufferers.”

Ohio Cities: A Breath of Fresh Air?

Interestingly, several Ohio cities, including Akron and Cleveland, consistently rank among the *least* challenging places for allergy sufferers. This is often attributed to factors like lower overall pollen counts and effective city-wide allergen control programs.

Though, even in these relatively allergy-pleasant cities, individuals can still experience symptoms. it’s crucial to remember that allergies are highly individual, and what triggers one person may not affect another. Furthermore, climate change is impacting pollen seasons across the board, so even traditionally “safe” areas may see an increase in allergy challenges in the coming years.

Understanding Pollen Allergies: A Deeper Dive

Pollen allergies, also known as seasonal allergic rhinitis or hay fever, are triggered by the release of tiny grains from trees, grasses, and weeds.These grains are carried by the wind and can travel long distances,making it arduous to avoid exposure entirely.

The timing of pollen seasons varies depending on the region and the specific plant species.In general, tree pollen is most prevalent in the spring, grass pollen in the summer, and weed pollen in the fall. Though, these timelines can shift due to climate change and other environmental factors.

Common symptoms of pollen allergies include:

• Sneezing
• Runny or stuffy nose
• Itchy or watery eyes
• Coughing
• wheezing
• Fatigue

In some cases, pollen allergies can also trigger asthma symptoms, such as shortness of breath and chest tightness.

Practical Tips for Managing Spring Allergies

While it may not be possible to fully eliminate exposure to pollen, there are several steps you can take to manage your allergy symptoms and improve your quality of life:

• Monitor pollen forecasts: Stay informed about pollen levels in your area and plan outdoor activities accordingly.Several websites and apps provide daily pollen counts.
• Limit outdoor exposure: During peak pollen times, try to stay indoors as much as possible. Keep windows and doors closed and use air conditioning.
• Use air purifiers: Invest in an air purifier with a HEPA filter to remove pollen and other allergens from the air inside your home.
• Shower and change clothes: After spending time outdoors, shower and change your clothes to remove pollen from your skin and hair.
• Wash bedding weekly: Wash your bedding in hot water to kill dust mites and remove pollen.
• Consider over-the-counter medications: Antihistamines, nasal corticosteroids, and decongestants can provide relief from allergy symptoms. However, it’s essential to consult with your doctor or pharmacist before taking any new medications.
• Talk to your doctor about allergy immunotherapy: Allergy shots or sublingual immunotherapy (allergy drops) can definitely help build tolerance to specific allergens over time, providing long-term relief.

Dr. Michael Green, an allergist at the National Allergy and Asthma Center in Atlanta, Georgia, emphasizes the importance of a proactive approach. “Don’t wait untill your symptoms are severe to start taking action. By taking preventative measures and working with your doctor to develop a personalized treatment plan, you can effectively manage your allergies and enjoy the spring season.”

The Economic impact of Allergies

Allergies have a significant economic impact on the United States. According to the AAFA, allergies cost the U.S. healthcare system billions of dollars each year in medical expenses, lost productivity, and missed school days.

The economic burden of allergies is expected to increase in the coming years due to the rising prevalence of allergies and the increasing intensity of pollen seasons. This highlights the need for effective prevention and treatment strategies to mitigate the economic and social consequences of allergies.

A recent study by the National Institutes of Health (NIH) found that children with allergies are more likely to miss school, have lower academic performance, and require more healthcare services than children without allergies. This underscores the importance of early diagnosis and treatment of allergies in children to improve their health and educational outcomes.

Looking Ahead: Future Trends in Allergy Research

The field of allergy research is rapidly evolving, with new discoveries and advancements being made all the time. Some of the most promising areas of research include:

• Novel immunotherapies: Researchers are developing new and improved forms of immunotherapy that are more effective and have fewer side effects.
• Personalized medicine: Scientists are working to tailor allergy treatments to individual patients based on their specific allergens and immune profiles.
• Biologic medications: Biologic medications target specific immune pathways involved in allergic reactions, offering a more targeted approach to treatment.
• The role of the microbiome: Research is exploring the role of the gut microbiome in the development and prevention of allergies.

These advancements offer hope for a future where allergies can be more effectively prevented and treated, improving the quality of life for millions of Americans.

Dr. Anya Sharma, a leading researcher in allergy immunotherapy at Johns Hopkins University, states, “We are on the cusp of a new era in allergy treatment. With personalized medicine and novel immunotherapies, we can target the root causes of allergies and provide lasting relief for patients.”

Is Your city an Allergy Nightmare? Expert Reveals the Hidden Dangers and Solutions

Navigating allergy season can feel like a constant battle, but understanding the specific challenges in your city and adopting proactive strategies can make a significant difference. By staying informed, taking preventative measures, and working with a healthcare professional, you can effectively manage your symptoms and enjoy the spring season to the fullest.

Remember, allergy management involves a proactive approach, and with the latest advancements in research and treatment, there is much hope for relief and a better quality of life!

Here’s a fast reference table summarizing key allergy data: