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If you’re one of the nearly 45 million Americans living with seasonal allergies, there are at least 100 cities you should avoid this spring. Or at the very least, plan your allergy defense strategy accordingly if you need to visit for work or pleasure.  For the 12th consecutive year, the Asthma and Allergy Foundation of America (AAFA) has compiled and released its 2014 list of “the 100 most challenging places to live with allergies” during the spring and fall seasons.

To determine the nation’s “Allergy Capitals,” the AAFA measured and compared seasonal data that included:

  • Pollen scores (airborne grass/tree/weed pollen and mold spores)*
  • Number of allergy medications used per patient
  • Number of allergy specialists per patient

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