An American field guide to the bad boys of spring.

Spring is here: temperatures are rising, trees are blooming and spring fever hangs in the air. But for many people, the season brings on a fever of a different sort – the mad rush to manage tree pollen allergies.

Across America, virile male trees are busily spreading their highly allergenic pollen. The microscopic grains float around like a fog, blanketing some areas with a yellowish-green mist. Even when you can’t see pollen, it’s there, causing up to 40 million Americans to endure itchy eyes ^[1], painful congestion, running noses and sleepless nights.

Certain trees are notorious pollinators. Gender also plays a role: male dioecious (separate sexed) trees trigger the worst reactions, although monoecious (dual sexed) aren’t much better. Since avoidance is one of the strategies to fight hay fever, it’s helpful to know which trees are the most allergenic – and where to find them. So grab the road map and an antihistamine; it’s time for Allergic Living’s tour of the worst pollen offenders.

Tree Pollen Allergy Tour: Western States

Juniper trees make spring the sneezing season in Colorado, says Susan Kirkpatrick, a certified pollen counter and an asthma educator with The William Storms Allergy Clinic in Colorado Springs. Poplar, cottonwood, aspen, elm, maple, alder and oak trees bring a parade of unhappy patients into clinics, too.

Finally, Coloradans should also beware the lodgepole pine, says Thomas Ogren, a horticulturist and author of Allergy-Free Gardening: ^[2] The Revolutionary Guide to Healthy Landscaping.

In Washington state, it’s the cedar, juniper, alder, birch, poplar and cottonwood trees that bring on hay fever symptoms, says Dr. Frank Virant, who heads the division of allergy at Seattle Children’s Hospital. Also sure to trigger allergies for some western residents are walnut and holly trees.

Down in California, the eucalyptus tree is emerging as a cause of seasonal symptoms –  perhaps no surprise, given its ubiquity. “They say that you can drive from San Francisco to San Diego along the coast and never be out of sight of a eucalyptus tree,” says Ogren.

The silver wattle, almond and casuarinas (also known as beefwood or she-oaks) are some other relatively common allergy-producing trees in the west. Not to mention camphor trees. “The streets of Los Angeles are lined with camphor trees that are 100 years old and they’re gorgeous,” says Ogren. “But the people who live on those streets get quite miserable.”

The allergy prone ought to also be wary of these other California trees: Catalpas (also called stogie trees, as native Indians used to dry the leaves, cut off the ends and smoke them like cigars); bottle brush, whose red flowers resemble baby-bottle brushes; Cryptomeria (also called Japanese cedar, these trees are the No. 1 cause of allergy in Japan, according to Ogren); Cyprus trees; box elder and ash-leaf maple.

Next page: Allergy trees in South Central U.S.

Tree Pollen Allergy Tour: South Central

Texas has gained notoriety as an allergy hot spot, beginning even in winter, as the mountain cedar (in fact, not a cedar at all – it’s a species of juniper) pollinates and blankets entire sections of the state, says Virant.

Its allergenic reach stretches from Austin to Dallas and beyond. The Edwards Plateau in Texas has the largest population of the mountain cedar, also called Ashe Juniper or Juniperus ashei, which some claim is the biggest contributor to “cedar fever.”

The mountain cedar pollinates early in the season, and following close on its heels are the Eastern Red-Cedar, or Juniperus virginiana, as well as the oak – both seriously sneeze-inducing trees, which spread their windborne pollen through the end of spring.

Elsewhere in the south central region, cedars, elms, ash, maples, and box elders wreak havoc among allergy sufferers at this time of year.

Tree Pollen Allergy Tour: South Atlantic

In Florida, beware the olive tree. “Of all the trees, among the ones that are the most allergenic would be the olives, on a grain per grain basis,” says Ogren.

A surprising offender to watch for is the palm tree, a favorite for low-water landscaping; Disney World, for example, has thousands of them. Unfortunately, they’re related to grasses, so if you’re allergic to grass pollen ^[3], you may also be sensitive to palm pollen.

The Chinese Pistache, too, is posing a problem in many areas. This hardy tree, which produces a beautiful fall color, is fast replacing another colorful tree, the Sweetgum, which is less allergenic but has aggressive roots that are destroying concrete sidewalks in many communities.

Florida is also home to the usual suspects that can be an allergy sufferer’s nightmare – junipers, cedars, elm and oak – as well as the casuarina, privet and laurel trees.

Next page: Allergy trees in the North East

Tree Pollen Allergy Tour: North East

New Jersey is definitely “pine land,” says Dr. Donald Dvorin, certified pollen counter and co-founder of The Asthma Center, an allergy clinic with nine locations in Pennsylvania and New Jersey.

Pine tree pollen can become so dense, says Dvorin, that “it almost looks like smoke is coming out of the trees” – so much so that people unfamiliar with the phenomenon have been known to call the fire department.

Although one grain of pine pollen is about 100 microns in size – far smaller than the head of a pin – it’s relatively large compared to other pollen, making it less likely to be windborne, and also less likely to get into your airways and lungs. That’s partly why some experts don’t believe that pine pollen is a common allergen.

Still, according to Dr. John Costa, medical director of allergy clinical practice at Brigham and Women’s Hospital in Boston, “If you live in an area surrounded by pine trees and that pine pollen is falling directly downward and landing on your car, your deck and your lawn furniture, and then you touch these things and put your finger near your eye or nose, it can cause problems.”

Watch out for Oak and Mulberry Pollen

Other top pollen-producing trees in New Jersey, New York and Pennsylvania, include juniper (no surprise there), elm (slippery elm, not the American variety that was all but wiped out by Dutch Elm Disease in past years), maple, birch, Sweetgums and cottonwood.

But the tree that produces the most pollen every year in the area is likely the tall stately oak.

“It’s in the top echelon of tree pollen production,” says Dvorin. It can produce anywhere from 1,000 to 3,000 pollen grains per cubic meter of air, which for one species, says Dvorin, is “tremendous.” (Experts say that, in most of the country, people become symptomatic when pollen counts are 200 per cubic meter and up.)

Thick yellow oak pollen is known to blanket the residential areas of Cherry Hill and Forked River, New Jersey.

“When you get a lot of windy weather, that’s when you see all the cars and roads coated, especially in the suburban residential areas,” says Dvorin. On those days, city workers get out the street cleaning machines, but that doesn’t do much to stem the symptoms of allergic residents, who, says Dvorin, “for the most part just grin and bear it.”

In New York City, male mulberry trees pose a significant allergy problem, according to Ogren. They line the streets in many neighborhoods, chosen by arborists and landscapers because they resist disease and insects, withstand smog and, like all male trees, produce no messy fruit or flowers.

However, it’s only the male trees that produce troublesome pollen, says Ogren, who is promoting a sex change ^[4] in tree planting to help solve the mulberry pollen problem.

Next page: The Midwest’s most allergenic trees

Tree Pollen Allergy Tour: Midwest

This region has the typical allergen-producing trees, including the juniper. In general, trees pollinate in two- or three-week intervals The early trees – think maple, juniper, elm, ash, alder – spread their seeds in March and early April, while the later trees – oak, birch, walnut, mulberry, cottonwood/poplar and pine – cause more problems from mid-April to the end of May.

Juniper is one of the biggest culprits in places such as Kansas City, Missouri. Also topping the list of spring pollen producers in this area are pine and elm trees. Elms can flower at two distinct times – as early as January in some areas and not until April in others.

Elms also have Chicago residents around the tissue box in springtime. Other troublesome trees in the Windy City and surrounding area include ash, maple and oak, according to local allergists.

In Salt Lake City, Utah, the ash-leaf maple, white mulberry and green ash typically top the tree allergy list, causing residents to reach for their antihistamines and decongestants.

But the worst offender is the box elder. The bane of allergy sufferers in Salt Lake, and all across the country, it produces more pollen than any other maple anywhere.

Sidebar: THE ALLERGY TRAP

There’s no easy escape from tree allergies, since airborne tree pollens can travel great distances. “Many of these pollens are small and light, and even if the grove of trees is a mile away, you can still be miserable,” says Dr. Frank Virant, head of the allergy division at Seattle Children’s Hospital.

Plus, the symptoms can follow you almost wherever you move.

Not long ago, you could escape spring tree allergy season ^[5] by skipping down to Arizona for a few months. “It used to be that people with allergies to alder or birch would go to places like Phoenix, Tucson or Palm Springs and stay until the end of April or until it got too hot,” says Virant.

Today, there would be almost no point. While these cities still don’t have alder and birch, many plants that are not indigenous to the area are being planted, says Virant. Within a few years, newcomers become sensitized to these new trees and allergic symptoms return with a vengeance.

What’s more, living in an urban center, where the are fewer trees, is also no defense from pollen.

“Pollen doesn’t respect the city limits,” says Dr. John Costa, medical director of allergy clinical practice at Harvard Medical School-affiliated Brigham and Women’s Hospital in Boston. “Being in the city is no protection just because there are fewer trees. The pollens blow into the city.”

That said, some cities are worse for allergy sufferers than others. And those with pollen allergies will breathe more easily close to the seashore.

“If you’re facing the water, you’re protected, because offshore winds prevent you from getting the pollen from inland,” says Dr. Donald Dvorin, an allergist and certified pollen counter. “Patients tell us that as soon as they visit the ocean, they’re fine.”

Next page: Stop suffering! Top tips for managing tree pollen allergies

Top Tips for Managing Tree Allergies

Millions of Americans suffer from spring allergies ^[5]. If you’re one of them, take heart; there are steps you can take to minimize your symptoms.

• Keep windows and doors shut, or that lovely spring breeze will carry allergens inside. Once it’s warm indoors, use an air conditioner.

• After being outside, change your clothes – and put the ones you were wearing in the wash.

• Leave shoes outside so you don’t trample in the pollen.

• Don’t hang laundry outside to dry – it will collect pollen.

• Take a shower before bed to remove pollen from your hair and avoid spreading it all over your pillow.

• Avoid outdoor activities in the morning, as trees tend to pollinate before 10 a.m.

• Run errands shortly after a rainfall, when the damp holds pollen on the ground.

• If you have a pet, wipe down its fur, which gets laden with pollen, before it comes inside.

• Check pollen counts in your area at www.aaaai.org’s National Allergy Bureau ^[6] (which relies on data collected by allergist volunteers across the U.S.). Or see www.pollen.com ^[7], a site that ranks pollen on a scale of 0-12 and provides a four-day forecast.

• Don’t just tough it out – ask your doctor about antihistamines and decongestants.

Allergic Living gratefully acknowledges Dr. Richard Weber, vice president of the American College of Allergy, Asthma and Immunology ^[8] and professor of medicine at the University of Colorado and National Jewish Health, for reviewing this article.