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Holiday Allergies: An Allergist's Checklist

clean it before you unpack it

October 19, 2026 6 min read

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The decorations come out once a year. So does everything that settled on them in storage. If you sneeze every December and blame a cold, the boxes may be part of the story.

Here is an allergist's checklist for the tree, the boxes, the candles, the food and the visit, plus a printable version at the end.

The live tree

Researchers at SUNY Upstate Medical University tested clippings from 28 live Christmas trees and found 53 different molds. Most of them were potential allergens. A warm living room is a good place for mold to grow.

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The artificial tree and the boxes

An artificial tree is not automatically allergy friendly. Artificial trees and ornaments can harbor dust and mold when they are stored badly, and they sit in an attic, basement or garage for eleven months.

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The candles and the scents

The American College of Allergy, Asthma and Immunology lists scented candles and air fresheners as asthma triggers, including the pine and spice scents of the season. Flameless candles give you the glow without the scent or the smoke.

The food

It is easy for an allergen to slip into a dish someone else made. If you or your children have a food allergy, ask about ingredients, and when in doubt, bring a dish you know is safe.

The visit

Other homes and hotels can have dust mites, mold and pet allergens, even when they look spotless.

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The stress

The ACAAI also notes that stress can make asthma symptoms worse. In an American Psychological Association poll, 89 percent of U.S. adults said something causes them stress during the holiday season. The top causes were money, finding the right gifts and missing loved ones.

The fix is the same as the ornaments. Check it before it goes up. Decide now what you are bringing out this year, before the calendar fills. If saying no is the hard part, start with how to say no and boundaries with family.

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The holiday allergy checklist

This article is general information, not medical advice. If you have trouble breathing, wheezing that does not settle, or symptoms that keep coming back, see your doctor or a board-certified allergist.

Frequently asked questions

Can you be allergic to a Christmas tree?

Usually the problem is what is on the tree, not the tree itself. Researchers at SUNY Upstate Medical University found 53 different molds on clippings from 28 live Christmas trees, and most were potential allergens. Pollen and sap can also bother some people.

Are artificial Christmas trees better for allergies?

Not automatically. Artificial trees and decorations collect dust and can grow mold if they are stored in a damp place. Clean them before they go up and store them in sealed bins.

Can scented candles trigger allergies or asthma?

Yes. The American College of Allergy, Asthma and Immunology lists scented candles and air fresheners as asthma triggers. Flameless candles give you the look without the scent or smoke.

How do I avoid allergies when staying with family?

Other homes and hotels can have dust mites, mold and pet allergens. Pack all of your medicines, including epinephrine if it has been prescribed, and bring your own pillow or a zippered dust mite proof cover.

Do allergies go away in winter?

No. The American College of Allergy, Asthma and Immunology calls it a common misconception that allergens disappear after the first hard freeze. Indoor allergens like dust mites, mold and pet dander are there all year.

Sources: SUNY Upstate Medical University, "Season's sneezings," 2011, on Kurlandsky et al., Annals of Allergy, Asthma and Immunology; American College of Allergy, Asthma and Immunology, "Holiday Humbug Because of Allergies?", 2024; American Psychological Association, holiday stress poll, 2023.

Lauren Fine, MD

Lauren Fine, MD

Coach · Speaker · Story Strategist

Lauren Fine is a coach, TEDx speaker, and story strategist helping people at every inflection point identify, shape, and tell the story of who they're becoming. She is a physician, medical educator, Harvard Macy Institute faculty, and the founder of ReasonDx.

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