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If you're prone to severe allergies, Knoxville might not be for you. Even before the combustion engine came around East Tennessee had "smoky" air (hence the name of our mountains). The gorgeous vegetation here means there's a lot of pollen in the air. That pollen gets trapped by the moisture in the air, and then it can't escape because the mountains act as a barrier.
And now we have three very busy interstate highways in the Knoxville area, and all that car and truck exhaust doesn't help.
Our lakes are fabulous. I would definitely not hesitate to eat fish caught in any of our lakes except for Watts Bar, and that's only because of the recent ash spill from TVA's gigantic power plant.
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