Some cities are in for a sneezier season than others this fall. Northeast states can expect an average allergy season, but thanks to a perfect balance of summer sun, rain, and heat, residents of the southeast and midwest are expected to face a bit more trouble, Accuweather reports.

Once again, the Asthma and Allergy Foundation of America (AAFA) has named the worst cities across the country for people with fall allergies. The ranking are based on three calculations: pollen levels, allergy medicine use, and the number of certified allergists in the area. Each city was scaled and assigned a score, with a perfect 100 going to the worst city, Wichita, Kansas (up from No. 2 last year).

Find out if your hometown was named one of the top 10 allergy capitals below, and then check out the full list at AllergyCapitals.com.

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