How do societies create effective and resilient institutions, such as governments.​

They could be side affects or symptoms like:

sneezing and an itchy, runny or blocked nose (allergic rhinitis)

itchy, red, watering eyes (conjunctivitis)

wheezing, chest tightness, shortness of breath and a cough.

a raised, itchy, red rash (hives)

swollen lips, tongue, eyes or face.

tummy pain, feeling sick, vomiting or diarrhoea.

worsening of asthma or eczema symptoms

idk if you found them already or not but you probably did but the one closer to sea level is raleigh.