Here are the worst cities for spring allergies in 2014:


1. Louisville, Kentucky
2. Memphis, Tennessee
3. Baton Rouge, Louisiana
4. Oklahoma City
5. Jackson, Mississippi
6. Chattanooga, Tennessee
7. Dallas
8. Richmond, Virginia
9. Birmingham, Alabama
10. McAllen, Texas

These so-called allergy capitals are ranked based on pollen levels, use of allergy medications and the number of board-certified allergists in the area.

Louisville has moved up the list from No. 5 last year because of higher-than-average pollen counts, high use of allergy medications and too few allergy specialists, according to the Asthma and Allergy Foundation of America.

New York; Columbia, South Carolina; and San Antonio are new to the top 20. Only Los Angeles residents can breathe a sigh of relief; the city fell 39 places from No. 38 last year to No. 77 this year.

The relatively late spring in some areas also means that there's going to be more overlap with summer (grasses) allergens.