Otherwise, "You might just have to keep your windows closed," said Shulan. With closed windows, and hypoallergenic air conditioners, Shulan estimates an indoor environment can cut down pollen count by 90 percent.
"We used to die in the Midwest years ago, air conditioning was quite helpful," said Shulan.
Although Oklahoma City still made the AAFA's top ten fall allergy capitals, the 9th ranking was an improvement of its 3rd place last year.
Both Oklahoma City and Wichita scored approximately 70 out of the 100 AAFA scale for fall allergies. Both cities are on the American plains (with their wind) and both cities took their name from neighboring Native American tribes.
Oklahoma comes from the Choctaw words 'okla,' meaning 'people,' and 'humma,' meaning 'red.' Literally translated, the name means 'red people.'
Residents of the low rolling hills, with shrubs and prairie grasses can take the same precautions staying indoors. But, medical treatments can do a world of good.
"There are some very good over-the-counter antihistamines that are very good," said Nelson. In addition to antihistamines, Nelson said allergy shots and nasal steroids can be even more effective.
According to the AAFA's calculations, students returning to University of Wisconsin-Madison may be in for a hay fever shock.
Madison ranked number 10 on the AAFA Fall allergy capitals, showing average pollen counts but high medication use and lower than average access to allergists.
Still, allergists don't believe pollen should dissuade anyone from going to the college, or city of their dreams. In addition to having four lakes to enjoy – Lake Mendota, Monona, Waubes and Kegonsa, Madison is consistently ranked in Money and Forbes magazines as one of the best, cheapest and safest places to live in the U.S.
"Back in the 19th century they used to publish lists of places where you could go to get away from ragweed," said Nelson, mostly in Main the Upper Peninsula of Michigan and the Rocky Mountains.
"You could go to all those places where there was nothing but pine trees and get away from the ragweed pollen," said Nelson. "To move now a days would be a rather extreme thing when there are really very effective ways to treat allergies,"