When she cleans the rooms of patients with swine flu symptoms, Jana Newton, a housekeeper at Maimonides Medical Center in Brooklyn, has to suit up for her own protection in a mask, gloves, gown and hairnet.

But she still does not want the one thing that would give her a far better defense — a flu shot.

“Some people’s immune system is good, like me,” Ms. Newton said. “I’ve been here five years and never been sick. Why mess with something that’s not broken?”

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