If you're allergic to pollen, when spring comes your nose knows it — especially if you live in one of the places ranked worst for people with allergies. This year Jackson, Mississippi took the top spot, followed by Memphis, Tennessee, and Syracuse, New York.

The rankings come from an annual report released by the Asthma and Allergy Foundation of America (AAFA).

It's not just pollen counts that drive the rankings. The other factors weighed are allergy medication usage and the availability of board-certified allergists.

Other cities in the top 5 are Louisville, Kentucky, and McAllen, Texas. You can see the full list here.

The best place to live for people with spring allergies? Daytona Beach, Florida, according to the study, followed by Denver, Colorado, and Provo, Utah.

“Whether you live in one of these allergy capitals or somewhere else, it is important to work with your doctor to learn what triggers your allergies and determine the best treatments for you to enjoy your life unencumbered by seasonal nasal allergies,” says AAFA’s president and CEO Cary Sennett, MD.

Related: Seasonal Allergies: Yes, They’re Getting Worse, and Here’s Why

How to deal with allergies

Here's how to be ready as trees, grasses and weeds send the pollen count higher.

  • Visit an allergist. If your allergies are really bothersome, an allergist can suggest the best medicines for you and when in the season to start taking them.
  • Take your antihistamines early. They work best if you take them before you're exposed to an allergen.
  • Pay attention to pollen counts. Check your local weather forecast and plan your day accordingly.
  • Minimize your time outside. Postpone yard work, especially on hot, windy days, and wear a pollen mask if you must be outdoors for extended periods.
  • Avoid mornings. Pollen counts tend to peak between 5 a.m. and 10 a.m. according to the Cleveland Clinic.
  • Rinse pollen off your shoes, glasses and your pet to avoid bringing it in the house.
  • Wash your hair after being outside.
  • Shut your windows and run the AC instead.

Related: Achoo! 3 Ways to Treat Springtime Allergies

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Muriel Vega is a writer with a passion for budget travel and staying safe while abroad. A Georgia State University graduate, she has over 6 years of editorial experience and has written for The Guardian, The Atlantic, The Billfold, among other outlets. In her free time, you can find her baking pies, playing with her two dogs and cat, or planning her next vacation. She spends way too much time on Twitter, one of her favorite social media channels. Her favorite safety tip: Make sure you have all the necessary shots before you go abroad.