Here are some non-chemical control suggestions from WSU:
-Prune out swellings or galls from junipers.
-Remove and destroy infected material from pear trees (fallen leaves, mummified fruit, heavily infected twigs, etc.) to help minimize disease spread. To help protect junipers, infected plant material must be removed from the pear trees before spores form, usually around late August in western Washington. This may not be practical on large trees.
-Plant only disease-resistant junipers in areas where this disease is a concern; cultivars of Juniperus squamata, J. horizontalis, and J. communis are resistant.
-Do not plant pears and junipers within 1,000 feet of each other. Most local transmission of this disease is by wind-blown spores.
-Complete removal of one host is the only completely effective cultural control.
-Carefully examine plants before adding them to your landscape. Many diseases are introduced on infected planting material.
This is from the ministry of Agriculture in B.C.
-Plant junipers and pears as far away from one another as possible. Consider your neighbor’s plants, as well as your own. If the two hosts are separated by at least 150 meters [~500ft], there will be minimal damage to the pears.
-If infected pear and juniper are in close proximity, consider removing one or the other. Don’t leave juniper brush piled in your yard as the fungus will sporulate on it and spread to the pears.
-To prevent spread of the disease from your pear tree to nearby junipers, pick the infected leaves before mid-August each year, if they are not too numerous. No special disposal of these leaves is required. The fungus will die out in a few days when the leaves shrivel up.
-Prune out any gall-like growths at the base of twigs on pear.
-Avoid planting ornamental pears. They are also susceptible to the disease.
-If selecting junipers for a landscape containing pears, select resistant juniper species, including Juniperus horizontalis, J. communis and J. squamata, or choose a different type of conifer.
Also from the ministry of Agriculture, B.C.:
-Symptoms on juniper are much less obvious. They can only be seen during wet weather in April and early May. At that time, orange, jelly like masses (telia) swell and enlarge on infected juniper branches. Telia release release spores which are capable of infecting nearby pear leaves which are just starting to grow. After the spores are released, the telia shrink and dry up, and infection on juniper remains dormant until the next spring. Infected junipers continue to grow and appear healthy. Some varieties may develop spindle-shaped swellings on the branches.

The fruiting structures can be seen protruding from on the underside of these infected leaves, in this photo courtesy of Jeremy Harrison-Smith. The initial infection is often bright orange, sometimes darkening to red late in the summer.

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