Fourth-worst springtime-allergy city: McAllen, Texas
Spring allergy score:
This South Texas city has perennial problems with springtime allergies, coming in second place in last year's AAFA study.
Located along the U.S.-Mexican border, McAllen has above-average springtime pollen counts, with mountain cedar, Arizona cypress, elm, ash and poplar trees all causing particular problems.
The 775,000-person metro area also has above-average springtime use of allergy medications, plus a low level of board-certified allergists (the American Board of Medical Specialties says there are just two in the city proper).
"McAllen is bad on all three of our indicators," Tringale says.