There were reported attacks against Christians in 24 of the 29 states in India between July 2017 and July 2019, with one estimate counting over 440 anti-Christian incidents in 2017, more than 470 in 2018, and 117 attacks in the first quarter of 2019.
Some of the attacks were horrific, including the gang-rape of five female workers at a Christian NGO in the northeastern state of Jharkhand.
In one case in September 2018, an elderly Christian woman was beaten in Veppur village on the date of a Hindu festival for walking on the road and thus defiling it; rocks were thrown at Christians who tried to help her.
In another case in February, a church in Karkeli village was attacked by a mob, and as CNA reported in September, a Jesuit-run mission school in Jharkhand was attacked by a violent mob of Hindu extremists where students and staff were beaten, in some cases severely.
Yet attacks like these continue with "impunity" because of an apparent reluctance by the government to investigate and prosecute, ACN says.
In the spring of 2019, India's Prime Minister Narendra Modi of the Hindu nationalist Bharatiya Janata Party won a second term in office, sparking concerns by Christian leaders of a worsening persecution.
In East Asia, authoritarian governments in China and North Korea continue to inflict horrific abuses on Christians.
North Korea has long been recognized as "the worst place in the world to be a Christian," ACN says, with "upwards of 70,000 Christians" detained in harsh labor camps with reports of "extra-judicial killings, forced labor, torture, persecution, starvation, rape, forced abortion and sexual violence."
China reportedly arrested underground Catholic Bishop Peter Shao Zhumin of Wenzhou and detained him for seven months just after an agreement had been reached with the Vatican on the selection of bishops. The government also banned the online sale of Bibles in April 2018 in order to promote "a new version compatible with Sinicization and socialism."
In the Philippines, bombings during Sunday Mass at the Cathedral of Our Lady of Mount Carmel in Jolo killed 20 people and injured more than 100 in January.
Meanwhile, in the Middle East, Christians are still suffering the "full impact" of the Islamic State genocide even though the territorial caliphate of the Islamic State is no more, ACN says.
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Christian communities which have existed for centuries have long been dwindling in Iraq and Syria due to the ongoing Syrian civil war, the 2003 U.S. invasion of Iraq, and the Islamic State genocide. Current estimates of Christians in Iraq range from "well below" 150,000 to below even 120,000, a mere fraction of the 1.5 million who lived there in 2003.
According to local priest Father Amanuel Kloo, the Christian population in Mosul has all but disappeared; there were 35,000 Christians in the city in 2003, at least 6,000 in 2014, and now just 40 Christians remain.
In Aleppo, "once one of the most significant centres for the Church in the whole of the Middle East," the Christian population has dropped by more than 80 percent in eight years, the report said. Young men are fleeing military service, and others cannot bear the economic hardship or the increasing marginalization of Christians in society.
The suffering of Middle Eastern Christians, however, "reached its zenith" in the last two years, ACN says.
Although the Islamic State caliphate no longer exists, many of the group's militants are still present in the region and "extreme poverty" remains a serious concern to the future of Christians in Syria. Some Iraqi Christians have still not been able to return to their homes, while others who have are facing harassment by local militias.
In Egypt, Copts have suffered a slew of violent attacks albeit with decreasing scope and severity over time. Nevertheless, Christians especially in rural areas face regular attacks, harassment, and discrimination, and while the state authorized 340 churches to be built in 2018, 3,740 churches have yet to be approved, revealing one challenge to the growth of the Church in the Muslim-majority country.