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Climate change is exacerbating the allergenic pollen-induced health risks and adding a significant economic burden to societies. Despite the pressing threats, vital health-related information is not available to the public to date, and the reshaping of future geographic allergenic pollen patterns remains unknown. To help establish a critical allergenic pollen forecasting capacity, a systematic review was conducted and three promising future directions were identified: (1) resolving heterogeneous urban plant species distribution and phenology using fine-resolution satellite constellations; (2) acquiring ancillary information about allergenic pollen and patient symptoms from emerging geospatial big data, such as social media; (3) deciphering the coupled effect of climate change and urbanization on future geographic patterns and phenology of allergenic species. On this basis, we recommend an optimized workflow that combines real-time pollen monitoring networks with high-resolution vegetation information and weather forecast systems, comprehensively considering the production and diffusion process of pollen to establish advanced prediction models. 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