In the past year, the persecution of Christians has not only increased, but it has also spread to more corners of the globe – with incidents occurring on every continent, according to a new report.

The advocacy group Open Doors USA recently released the latest edition of its annual World Watch List, which ranks countries based on the treatment of their Christian populations. The group said the increase in incidents considered persecution was alarming and only getting worse.

“It is appalling that Open Doors has to report that persecution has increased again in 2016 and we are still at the worst levels of persecution in modern times,” David Curry, president and CEO of Open Doors USA, “The spread of persecution has gotten worse, now hitting nearly every continent in the world. There were 23 Christians killed in Mexico specifically because of their faith.”