Fall is the season of sneezin’ for millions of Americans who have seasonal allergic rhinitis, also called nasal allergies. Where you live, the time of year and other factors can have a big impact on those with allergies.

Nasal allergies affect more than 50 million Americans. This sends more than 16 million to doctors. It costs more than $17 billion in health costs (including buying inhalers costs). Sufferers miss more than 6 million work and school days each year.
"For over a decade, our Allergy Capitals rankings have reminded patients and doctors that nasal allergies affect families and communities nationwide," says Dr. Cary Sennett, AAFA’s President and CEO. "But, no matter where you live, you can get help from an allergist and learn how to manage your fall allergies better."
Fall Allergy Capitals™ is one of our yearly research projects. Our report lists cities where your symptoms and quality of life may be worse. We find the 100 most difficult places to live with allergies during the fall.
Each season, we look at:
The five most challenging cities to live in with fall allergies this year are:
2015 Regional Rankings
No. 1 in the Midwest – Dayton, Ohio
No. 1 in the Northeast – Syracuse, New York
No. 1 in the South – Louisville, Kentucky
No. 1 in the West – Tucson, Arizona
This year’s report named Louisville, Kentucky, as the top Fall Allergy Capital. It has:
Talk to your doctor about your allergies. Discuss changes in your allergy plan.