Internationally-recognized religious freedom standards are routinely ignored in China. Persecution against Christians varies from harassment, humiliation, fines and church closures to imprisonment, torture and forced labor. When Christians are arrested they are often beaten, at times leaving them with serious injuries and in need of hospital treatment. China also consistently refuses to acknowledge the existence of North Korean refugees within its territory. Instead it returns them to North Korea where they face mistreatment, torture and even death in some cases.