Few New Yorkers eligible for lung cancer screenings receive one, and Black residents are least likely to receive an early diagnosis, a report released Wednesday by the American Lung Association found. 

The report, nevertheless, found there has been progress for lung cancer survival, with a survival rate of now 25%, an increase of 21% between 2014 and 2018. 

But catching signs of the disease early is key to survival. 

“Lung cancer screening is key to early diagnosis, and early diagnosis saves lives. Unfortunately, here in New York, not enough people are getting this lifesaving screening,” said Trevor Summerfield, the director of advocacy at the American Lung Association in New York. “We all can help reduce the burden of lung cancer in New York. If you are eligible for lung cancer screening, we encourage you to speak with your doctor about it. If a loved one is eligible, please encourage them to get screened.”

The report found New York ranks 26th in the country for the rate of lung ccancer cases at 58.1 per 100,000. The national rate is 56.7 per 100,000. The state is also third in its survival rate at 29.9% and 4th in early detection for a diagnosis.

But screening still lags, with New York ranking 27th out of 50 states, the report found. And New York is 27th when it comes to a lack of treatment for lung cancer, with 19.9% of cases receiving no treatment.