( CNN ) -- Things are n't looking good for people with allergies in Tennessee . Not only is the pollen apocalypse on its way , three of the state 's major cities made the Asthma and Allergy Foundation 's annual list of the 10 worst places for spring allergy sufferers . These so-called allergy capitals are ranked based on pollen levels , use of allergy medications and the number of board-certified allergists in the areas , according to a foundation statement . Everyone in the United States can expect their allergies to be worse this year , thanks to an unusually wet winter , the foundation says . `` Severe weather patterns can bring higher temperatures , higher pollen levels and increased exposure to mold , resulting in spring allergies that can peak stronger and last longer , '' Dr. Bill Berger , a California allergist , said in the statement . Here are the top 10 worst allergy cities for 2013 : . 1 . Jackson , Mississippi . 2 . Knoxville , Tennessee . 3 . Chattanooga , Tennessee . 4 . McAllen , Texas . 5 . Louisville , Kentucky . 6 . Wichita , Kansas . 7 . Dayton , Ohio . 8 . Memphis , Tennessee . 9 . Oklahoma City , Oklahoma . 10 . Baton Rouge , Louisiana . Residents in Springfield , Massachusetts ; Buffalo , New York ; and Grand Rapids , Michigan , may face more severe cases than they have in years past . These cities all jumped at least 10 spots up on the list from the spring of 2012 . The Asthma and Allergy Foundation also releases a list every year of the worst cities for fall allergy sufferers . The spring allergy capitals are based on tree pollen counts , while the fall cities are ranked on ragweed pollen counts from September through November of the previous years . Many of the cities on the fall list are on the spring list , but there are a few differences . 1 . Louisville , Kentucky . 2 . Wichita , Kansas . 3 . Knoxville , Tennessee . 4 . Jackson , Mississippi . 5 . McAllen , Texas . 6 . Dayton , Ohio . 7 . Oklahoma City , Oklahoma . 8 . Memphis , Tennessee . 9 . Madison , Wisconsin . 10 . Baton Rouge , Louisiana .
Jackson , Mississippi , tops the list of the worst cities for allergy sufferers . Tennessee has three major cities in the list 's top 10 . Comment: