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This puts extra pressure on the right side of the heart, forcing it to work harder to pump blood into the lungs

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In addition, Human Rights Watch met with or spoke by phone with executives from each of the companies except China National Tobacco, who did not respond to Human Rights Watchs requests for a meeting, and Lorillard and Imperial Tobacco Group, who declined to meet with Human Rights Watch.[378] Companies Child Labor Policies Most, although not all, of the tobacco manufacturing and leaf merchant companies whom Human Rights Watch contacted for this report had child labor policies in place, as detailed below