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"The Most Challenging Places to Live with Spring Allergies"

Worse than Average


Average
Better than Average

www.AllergyCapitals.com
2016 Asthma and Allergy Foundation of America
(Factors are not weighted equally)

NATIONAL RANKINGS

2016 National
Spring Rankings

Overall

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Rank Last
Year

1
4
20
2
6
7
3
9
5
36
8
11
16
10
13
12
15
32
24
26
38
18
14
35
48
34
19
22
23
37
41
21

Metropolitan Area

Jackson, MS
Memphis, TN
Syracuse, NY
Louisville, KY
McAllen, TX
Wichita, KS
Oklahoma City, OK
Providence, RI
Knoxville, TN
Buffalo, NY
Dayton, OH
Little Rock, AR
Columbia, SC
Richmond, VA
Baton Rouge, LA
Tulsa, OK
New Orleans, LA
Toledo, OH
Winston-Salem, NC
Springfield, MA
Philadelphia, PA
San Antonio, TX
Chattanooga, TN
Tucson, AZ
Akron, OH
Madison, WI
Dallas, TX
Charleston, SC
Nashville, TN
Omaha, NE
New York, NY
Greenville, SC

Total Score
(Avg. 62.53)

100.00
94.74
87.97
87.88
87.31
86.82
83.61
81.54
81.32
79.31
78.69
77.31
76.77
75.35
74.99
74.71
74.12
73.01
71.14
70.91
70.39
70.30
69.84
69.73
69.66
69.31
69.29
69.21
69.20
69.04
68.65
68.40

Subtotal:
Subtotal:
Medicine
Pollen Score*
Utilization per
(Avg. 300
Patient (Avg. 0.98
grains/cubic meter
Medications Per
air daily)
Est. Patient)

Subtotal:
Board Certified
Allergists per
Patient (Avg. 0.91
Board Certified
Allergists Per
10,000 Est.
Patients)

www.AllergyCapitals.com

Asthma and Allergy


Foundation of America

Page 1
www.AllergyCapitals.com

2016 Spring Allergy Capitals

2016 National
Spring Rankings

Overall

33
34
35
36
37
38
39

40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79

Rank Last
Year

27
56
25
58
31
44
50
33
17
64
46
40
43
59
42
71
51
30
n/a
29
45
57
60
47
39
52
62
49
54
66
73
53
63
75
79
70
55
61
74
65
72
67
28
69
78
89
81

Metropolitan Area

Augusta, GA
Youngstown, OH
St. Louis, MO
Fresno, CA
Charlotte, NC
Albuquerque, NM
Detroit, MI
Greensboro, NC
Birmingham, AL
Cleveland, OH
Grand Rapids, MI
Des Moines, IA
El Paso, TX
Allentown, PA
Cape Coral, FL
Riverside, CA
Albany, NY
Jacksonville, FL
Durham, NC
Virginia Beach, VA
Las Vegas, NV
Pittsburgh, PA
Columbus, OH
Hartford, CT
New Haven, CT
Austin, TX
Scranton, PA
Houston, TX
Rochester, NY
Phoenix, AZ
Worcester, MA
Kansas City, MO
Indianapolis, IN
Baltimore, MD
Los Angeles, CA
Harrisburg, PA
Bridgeport, CT
Atlanta, GA
Minneapolis, MN
Tampa, FL
Milwaukee, WI
Cincinnati, OH
Miami, FL
Lakeland, FL
Boston, MA
Stockton, CA
Bakersfield, CA

Total Score
(Avg. 62.53)

68.37
67.89
67.30
67.03
66.81
66.77
66.68
66.50
66.35
65.21
65.01
64.76
63.25
62.92
62.87
62.77
62.61
62.55
62.51
61.85
60.99
60.78
59.67
59.63
59.35
59.29
58.80
58.22
58.02
57.91
57.17
56.92
56.11
56.00
55.96
55.80
55.72
55.46
55.07
54.82
54.52
53.94
53.71
53.62
53.49
53.16
52.25

Subtotal:
Subtotal:
Medicine
Pollen Score*
Utilization per
(Avg. 300
Patient (Avg. 0.98
grains/cubic meter
Medications Per
air daily)
Est. Patient)

Subtotal:
Board Certified
Allergists per
Patient (Avg. 0.91
Board Certified
Allergists Per
10,000 Est.
Patients)

www.AllergyCapitals.com

Asthma and Allergy


Foundation of America

Page 2
www.AllergyCapitals.com

2016 Spring Allergy Capitals

2016 National
Spring Rankings

Overall

80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100

Rank Last
Year

92
76
83
91
82
95
90
68
77
96
80
86
93
84
87
98
88
100
97
94
99

Metropolitan Area

San Francisco, CA
Chicago, IL
Seattle, WA
Spokane, WA
Washington, DC
Oxnard, CA
San Jose, CA
Orlando, FL
Salt Lake City, UT
Sacramento, CA
Ogden, UT
Sarasota, FL
Portland, OR
Raleigh, NC
Boise, ID
Colorado Springs, CO
Palm Bay, FL
San Diego, CA
Provo, UT
Denver, CO
Daytona Beach, FL

Total Score
(Avg. 62.53)

51.81
51.37
51.30
51.15
51.08
50.33
49.91
49.09
48.27
47.06
46.43
46.30
45.98
45.66
45.30
44.43
41.00
40.95
40.57
39.63
38.57

Subtotal:
Subtotal:
Medicine
Pollen Score*
Utilization per
(Avg. 300
Patient (Avg. 0.98
grains/cubic meter
Medications Per
air daily)
Est. Patient)

Subtotal:
Board Certified
Allergists per
Patient (Avg. 0.91
Board Certified
Allergists Per
10,000 Est.
Patients)

2016 REGIONAL RANKINGS (Top-5)

2016 Regional
Spring Rankings

Overall

Midwest

1
2
3
4
5

2016 Regional
Spring Rankings

Overall

Northeast

1
2
3
4
5

National
Rank

6
11
18
25
26

National
Rank

3
8
10
20
21

Metropolitan Area

Wichita, KS
Dayton, OH
Toledo, OH
Akron, OH
Madison, WI

Metropolitan Area

Syracuse, NY
Providence, RI
Buffalo, NY
Springfield, MA
Philadelphia, PA

Total Score
(Avg. 62.53)

86.82
78.69
73.01
69.66
69.31

Total Score
(Avg. 62.53)

87.97
81.54
79.31
70.91
70.39

Subtotal:
Subtotal:
Medicine
Pollen Score*
Utilization per
(Avg. 300
Patient (Avg. 0.98
grains/cubic meter
Medications Per
air daily)
Est. Patient)

Subtotal:
Subtotal:
Medicine
Pollen Score*
Utilization per
(Avg. 300
Patient (Avg. 0.98
grains/cubic meter
Medications Per
air daily)
Est. Patient)

Subtotal:
Board Certified
Allergists per
Patient (Avg. 0.91
Board Certified
Allergists Per
10,000 Est.
Patients)

Subtotal:
Board Certified
Allergists per
Patient (Avg. 0.91
Board Certified
Allergists Per
10,000 Est.
Patients)

www.AllergyCapitals.com

Asthma and Allergy


Foundation of America

Page 3
www.AllergyCapitals.com

2016 Spring Allergy Capitals

2016 Regional
Spring Rankings

Overall

South

1
2
3
4
5

2016 Regional
Spring Rankings

Overall

West

1
2
3
4
5

National
Rank

1
2
4
5
7

National
Rank

24
36
38
48
53

Metropolitan Area

Jackson, MS
Memphis, TN
Louisville, KY
McAllen, TX
Oklahoma City, OK

Metropolitan Area

Tucson, AZ
Fresno, CA
Albuquerque, NM
Riverside, CA
Las Vegas, NV

Total Score
(Avg. 62.53)

100.00
94.74
87.88
87.31
83.61

Total Score
(Avg. 62.53)

69.73
67.03
66.77
62.77
60.99

Subtotal:
Subtotal:
Medicine
Pollen Score*
Utilization per
(Avg. 300
Patient (Avg. 0.98
grains/cubic meter
Medications Per
air daily)
Est. Patient)

Subtotal:
Subtotal:
Medicine
Pollen Score*
Utilization per
(Avg. 300
Patient (Avg. 0.98
grains/cubic meter
Medications Per
air daily)
Est. Patient)

Subtotal:
Board Certified
Allergists per
Patient (Avg. 0.91
Board Certified
Allergists Per
10,000 Est.
Patients)

Subtotal:
Board Certified
Allergists per
Patient (Avg. 0.91
Board Certified
Allergists Per
10,000 Est.
Patients)

2016 Rank - Rankings for the Allergy Capitals are based on analysis of data from factors including: Prevalence Data, Seasonal Pollen, Allergy Medicine
Utilization per Patient, and the number of Board Certified Allergists per patient. Weights were applied to each factor and a composite final score was calculated for
each Metropolitan Statistical Area (MSA).
Total Score - Final total scores and subtotals were rescaled assigning 100 points to the largest score and presenting all other scores as a percentage of the largest.
The metro area with a total score of 100 points did not necessarily have the most severe" score for all factors, but, rather, the highest total weighted final score
overall.
Pollen Score* - Quantitative data analysis of average recorded pollen/mold spore levels and predicted prevalence for certain types of pollens/molds over the most
recent fall season and the duration of the peak season for the most allergenic pollen types; this score also takes into consideration local prevalence statistics for
people affected by allergies to pollen. (Regarding daily pollen counts: previous studies have shown that daily pollen concentrations of 150+ grains per cubic meter
of airborne allergenic pollen is a sufficiently high concentration which can trigger allergy symptoms in a large percentage of the allergic population.)
Medicine Utilization per Patient Score - Quantitative data analysis of recorded per capita utilization of recorded pharmacy data for prescription (RX) allergy
medicines in each metro area during the most recent fall season. Also includes over-the-counter (OTC) and behind-the-counter (BTC) allergy medication sales at
the pharmacy counter.
Board Certified Allergists per Patient Score - Quantitative data analysis for the most recent fall season of the number of Board Certified allergy and immunology
specialists per 10,000 estimated patients.
GOVERNMENTAL SOURCES:
National Institute of Allergy and Infectious Diseases, National Institutes of Health, Allergic Rhinitis Information (2016)
U.S. Department of Commerce, Bureau of the Census, U.S. Census 2000, 2014 Updates
U.S. Department of Commerce, National Oceanic and Atmospheric Administration, Air Resources Laboratory (ARL), Air Stagnation Climatology for the U.S. (2015)
U.S. Environmental Protection Agency, Status and Trends, Latest Findings on National Air Quality (2015)
NON-GOVERNMENTAL SOURCES:
Asthma and Allergy Foundation of America, "Asthma and Allergy Answers" (2015)
American Board of Medical Specialties, Specialist Database (2016)
INDUSTRY SOURCES:
IMS/SDI Pollen.com Database (2015)
IMS Medication Database (2015)
AAFA 2016 - AAFA is solely responsible for the contents of this report. AAFA, Founded in 1953, is the leading national advocacy organization for the allergy
community in the U.S. AAFA provides education, promotes advocacy and funds research.

www.AllergyCapitals.com

Asthma and Allergy


Foundation of America

Page 4
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2016 Spring Allergy Capitals