# Accessibility bug reports — nih.gov, week 2026-W37

13 issue type(s) from 3333 pages scanned. Generated 2026-09-11 by [vital-scans](https://github.com/mgifford/vital-core), following [accessibility bug-reporting best practices](https://mgifford.github.io/ACCESSIBILITY.md/examples/ACCESSIBILITY_BUG_REPORTING_BEST_PRACTICES.html).

> Automated checks find roughly a third of accessibility barriers. Fields marked "requires manual testing" cannot be observed by an automated scan and need a human with assistive technology.

---
## Links must be distinguishable without relying on color (WCAG 1.4.1)

**Bug ID:** `VS-0b9cc0c3`  
**Pattern ID:** `VS-8ade3360`  
**URL:** https://nih.gov/news-events/nih-research-matters/exercise-induced-protein-may-reverse-age-related-cognitive-decline  
**XPath / selector:** `p:nth-child(19) > a[data-extlink=""][target="_blank"][rel="noopener nofollow noreferrer"]`  
**WCAG SC:** 1.4.1 — Use of Color (Level A)  
**Rule:** axe-core — `link-in-text-block` ([reference](https://dequeuniversity.com/rules/axe/4.12/link-in-text-block?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 177 instances; 23 of 3333 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W37 (13 weeks)

### HTML snippet
```html
<a href="https://pubmed.ncbi.nlm.nih.gov/32646997/" class="ext" data-extlink="" target="_blank" rel="noopener nofollow noreferrer" title="(opens in a new window)">Blood factors transfer beneficial eff
```

### Description
Links must be distinguishable without relying on color. Detected by axe-core rule link-in-text-block on 23 of 3333 scanned pages (177 instances).

### Steps to reproduce
1. Open https://nih.gov/news-events/nih-research-matters/exercise-induced-protein-may-reverse-age-related-cognitive-decline.
2. Locate the element: p:nth-child(19) > a[data-extlink=""][target="_blank"][rel="noopener nofollow noreferrer"]
3. Confirm the axe-core finding for rule link-in-text-block against WCAG 1.4.1 Use of Color.

### Impact
Affects Without color perception (4.5%), Limited vision (2.4%).
- **Without color perception** (4.5% of population)
- **Limited vision** (2.4% of population)

### Affected pages
- https://nih.gov/news-events/nih-research-matters/exercise-induced-protein-may-reverse-age-related-cognitive-decline
- https://nih.gov/news-events/nih-research-matters/why-protective-antibodies-fade-after-covid-19-vaccines
- https://www.nih.gov/news-events/nih-research-matters/alcohol-related-deaths-increasing-nationwide
- https://www.nih.gov/news-events/nih-research-matters/dementia-free-years-may-decrease-smoking-hypertension-diabetes
- https://www.nih.gov/news-events/nih-research-matters/dna-organization-changes-alzheimers-disease-aging
- https://nih.gov/news-events/nih-research-matters/slow-vaccine-delivery-improves-immune-response-hiv
- https://www.nih.gov/about-nih/what-we-do/nih-almanac/fogarty-international-center-fic
- https://nih.gov/about-nih/nih-almanac/office-director-nih
- https://nih.gov/news-events/nih-research-matters/study-reveals-brain-networks-critical-conversation
- https://nih.gov/news-events/nih-research-matters/lab-made-eye-cells-restore-vision-mice
- https://www.nih.gov/brain-initiative/about/vision/brain-20-neuroethics-enabling-enhancing-neuroscience-advances-society
- https://www.nih.gov/news-events/nih-research-matters/how-football-raises-risk-chronic-traumatic-encephalopathy
- https://nih.gov/brain/about/vision/brain-2025-scientific-vision
- https://nih.gov/news-events/nih-research-matters/covid-19-immune-response-improves-months-after-vaccination
- https://nih.gov/news-events/nih-research-matters/skin-test-detects-evidence-parkinsons-related-disorders
- https://www.nih.gov//news-events/nih-research-matters/early-results-show-benefit-remdesivir-covid-19
- https://nih.gov/news-events/nih-research-matters/tracking-sars-cov-2-variants-wastewater
- https://www.nih.gov/health-information/nih-clinical-research-trials-you/promotional-materials
- https://nih.gov/news-events/nih-research-matters/spinal-cord-stimulation-improves-hand-grip-after-cervical-spinal-injury
- https://nih.gov/nih-style-guide/age
- https://nih.gov/health-information/your-healthiest-self-wellness-toolkits/physical-wellness-toolkit/physical-wellness-toolkit-more-resources
- https://nih.gov/news-events/nih-research-matters/infections-falls-increased-private-equity-owned-hospitals
- https://www.nih.gov/about-nih/nih-almanac/leadership/nih-directors

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/link-in-text-block?application=axeAPI

### Example pages
- https://nih.gov/news-events/nih-research-matters/exercise-induced-protein-may-reverse-age-related-cognitive-decline
- https://nih.gov/news-events/nih-research-matters/why-protective-antibodies-fade-after-covid-19-vaccines
- https://www.nih.gov/news-events/nih-research-matters/alcohol-related-deaths-increasing-nationwide

---

## Link in text block is visually distinguishable without color (WCAG 1.4.1)

**Bug ID:** `VS-7818b177`  
**Pattern ID:** `VS-efd91fdd`  
**URL:** https://nih.gov/news-events/nih-research-matters/exercise-induced-protein-may-reverse-age-related-cognitive-decline  
**XPath / selector:** `<a href="https://www.hhs.gov/" class="ext" data-extlink="" target="_blank">`  
**WCAG SC:** 1.4.1 — Use of Color (Level A)  
**Rule:** Siteimprove Alfa — `sia-r62` ([reference](https://alfa.siteimprove.com/rules/sia-r62))  
**Severity:** Moderate  
**Frequency:** 113 instances; 14 of 3333 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W37 (11 weeks)

### Description
Link in text block is visually distinguishable without color. Detected by Siteimprove Alfa rule sia-r62 on 14 of 3333 scanned pages (113 instances).

### Steps to reproduce
1. Open https://nih.gov/news-events/nih-research-matters/exercise-induced-protein-may-reverse-age-related-cognitive-decline.
2. Locate the element: <a href="https://www.hhs.gov/" class="ext" data-extlink="" target="_blank">
3. Confirm the Siteimprove Alfa finding for rule sia-r62 against WCAG 1.4.1 Use of Color.

### Impact
Affects Without color perception (4.5%), Limited vision (2.4%).
- **Without color perception** (4.5% of population)
- **Limited vision** (2.4% of population)

### Affected pages
- https://nih.gov/news-events/nih-research-matters/exercise-induced-protein-may-reverse-age-related-cognitive-decline
- https://nih.gov/news-events/nih-research-matters/why-protective-antibodies-fade-after-covid-19-vaccines
- https://www.nih.gov/news-events/nih-research-matters/dementia-free-years-may-decrease-smoking-hypertension-diabetes
- https://www.nih.gov/news-events/nih-research-matters/dna-organization-changes-alzheimers-disease-aging
- https://nih.gov/news-events/nih-research-matters/slow-vaccine-delivery-improves-immune-response-hiv
- https://www.nih.gov/about-nih/what-we-do/nih-almanac/fogarty-international-center-fic
- https://nih.gov/news-events/nih-research-matters/lab-made-eye-cells-restore-vision-mice
- https://www.nih.gov/news-events/nih-research-matters/how-football-raises-risk-chronic-traumatic-encephalopathy
- https://nih.gov/news-events/nih-research-matters/covid-19-immune-response-improves-months-after-vaccination
- https://nih.gov/news-events/nih-research-matters/tracking-sars-cov-2-variants-wastewater
- https://nih.gov/news-events/nih-research-matters/spinal-cord-stimulation-improves-hand-grip-after-cervical-spinal-injury
- https://nih.gov/nih-style-guide/age
- https://nih.gov/health-information/your-healthiest-self-wellness-toolkits/physical-wellness-toolkit/physical-wellness-toolkit-more-resources
- https://nih.gov/news-events/nih-research-matters/infections-falls-increased-private-equity-owned-hospitals

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Make links visually distinguishable from surrounding text (not by color alone).

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r62

### Example pages
- https://nih.gov/news-events/nih-research-matters/exercise-induced-protein-may-reverse-age-related-cognitive-decline
- https://nih.gov/news-events/nih-research-matters/why-protective-antibodies-fade-after-covid-19-vaccines
- https://www.nih.gov/news-events/nih-research-matters/dementia-free-years-may-decrease-smoking-hypertension-diabetes

---

## Elements must only use supported ARIA attributes (WCAG 4.1.2)

**Bug ID:** `VS-e69c9e52`  
**Pattern ID:** `VS-1467ea8a`  
**URL:** https://www.nih.gov/brain-initiative/about/vision/brain-20-neuroethics-enabling-enhancing-neuroscience-advances-society  
**XPath / selector:** `.usa-accordion--bordered`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** axe-core — `aria-allowed-attr` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-allowed-attr?application=axeAPI))  
**Severity:** Critical  
**Frequency:** 2 instances; 2 of 3333 pages affected
  
**History:** first seen 2026-W29, last seen 2026-W37 (6 weeks)

### HTML snippet
```html
<div aria-multiselectable="true" class="usa-accordion usa-accordion--bordered paragraph paragraph--type--uswds-accordion paragraph--view-mode--default">
```

### Description
Elements must only use supported ARIA attributes. Detected by axe-core rule aria-allowed-attr on 2 of 3333 scanned pages (2 instances).

### Steps to reproduce
1. Open https://www.nih.gov/brain-initiative/about/vision/brain-20-neuroethics-enabling-enhancing-neuroscience-advances-society.
2. Locate the element: .usa-accordion--bordered
3. Confirm the axe-core finding for rule aria-allowed-attr against WCAG 4.1.2 Name, Role, Value.

### Impact
Affects Without vision (1.0%), Limited vision (2.4%), Limited manipulation/strength (13.0%).
- **Without vision** (1.0% of population)
- **Limited vision** (2.4% of population)
- **Limited manipulation/strength** (13.0% of population)

### Affected pages
- https://www.nih.gov/brain-initiative/about/vision/brain-20-neuroethics-enabling-enhancing-neuroscience-advances-society
- https://nih.gov/brain/about/vision/brain-2025-scientific-vision

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Remove ARIA attributes that aren't allowed on this role/element.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/aria-allowed-attr?application=axeAPI

### Example pages
- https://www.nih.gov/brain-initiative/about/vision/brain-20-neuroethics-enabling-enhancing-neuroscience-advances-society
- https://nih.gov/brain/about/vision/brain-2025-scientific-vision

---

## Text has enhanced contrast (WCAG 1.4.6)

**Bug ID:** `VS-980316d7`  
**Pattern ID:** `VS-646b1e0b`  
**URL:** https://nih.gov/news-events/nih-research-matters/exercise-induced-protein-may-reverse-age-related-cognitive-decline  
**XPath / selector:** `text: "Get the Latest Updates and FAQs"`  
**WCAG SC:** 1.4.6 — Contrast (Enhanced) (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r66` ([reference](https://alfa.siteimprove.com/rules/sia-r66))  
**Severity:** Moderate  
**Frequency:** 917 instances; 14 of 3333 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W37 (11 weeks)

### Description
Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 14 of 3333 scanned pages (917 instances).

### Steps to reproduce
1. Open https://nih.gov/news-events/nih-research-matters/exercise-induced-protein-may-reverse-age-related-cognitive-decline.
2. Locate the element: text: "Get the Latest Updates and FAQs"
3. Confirm the Siteimprove Alfa finding for rule sia-r66 against WCAG 1.4.6 Contrast (Enhanced).

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://nih.gov/news-events/nih-research-matters/exercise-induced-protein-may-reverse-age-related-cognitive-decline
- https://nih.gov/news-events/nih-research-matters/why-protective-antibodies-fade-after-covid-19-vaccines
- https://www.nih.gov/news-events/nih-research-matters/dementia-free-years-may-decrease-smoking-hypertension-diabetes
- https://www.nih.gov/news-events/nih-research-matters/dna-organization-changes-alzheimers-disease-aging
- https://nih.gov/news-events/nih-research-matters/slow-vaccine-delivery-improves-immune-response-hiv
- https://www.nih.gov/about-nih/what-we-do/nih-almanac/fogarty-international-center-fic
- https://nih.gov/news-events/nih-research-matters/lab-made-eye-cells-restore-vision-mice
- https://www.nih.gov/news-events/nih-research-matters/how-football-raises-risk-chronic-traumatic-encephalopathy
- https://nih.gov/news-events/nih-research-matters/covid-19-immune-response-improves-months-after-vaccination
- https://nih.gov/news-events/nih-research-matters/tracking-sars-cov-2-variants-wastewater
- https://nih.gov/news-events/nih-research-matters/spinal-cord-stimulation-improves-hand-grip-after-cervical-spinal-injury
- https://nih.gov/nih-style-guide/age
- https://nih.gov/health-information/your-healthiest-self-wellness-toolkits/physical-wellness-toolkit/physical-wellness-toolkit-more-resources
- https://nih.gov/news-events/nih-research-matters/infections-falls-increased-private-equity-owned-hospitals

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Increase text contrast to meet WCAG AAA (7:1).

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r66

### Example pages
- https://nih.gov/news-events/nih-research-matters/exercise-induced-protein-may-reverse-age-related-cognitive-decline
- https://nih.gov/news-events/nih-research-matters/why-protective-antibodies-fade-after-covid-19-vaccines
- https://www.nih.gov/news-events/nih-research-matters/dementia-free-years-may-decrease-smoking-hypertension-diabetes

---

## Text has minimum contrast ratio of 4.5:1 (WCAG 1.4.8)

**Bug ID:** `VS-f08a262d`  
**Pattern ID:** `VS-2208081b`  
**URL:** https://nih.gov/news-events/nih-research-matters/exercise-induced-protein-may-reverse-age-related-cognitive-decline  
**XPath / selector:** `<p class="usa-banner__header-text">`  
**WCAG SC:** 1.4.8 — Visual Presentation (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r73` ([reference](https://alfa.siteimprove.com/rules/sia-r73))  
**Severity:** Moderate  
**Frequency:** 42 instances; 14 of 3333 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W37 (11 weeks)

### Description
Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 14 of 3333 scanned pages (42 instances).

### Steps to reproduce
1. Open https://nih.gov/news-events/nih-research-matters/exercise-induced-protein-may-reverse-age-related-cognitive-decline.
2. Locate the element: <p class="usa-banner__header-text">
3. Confirm the Siteimprove Alfa finding for rule sia-r73 against WCAG 1.4.8 Visual Presentation.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://nih.gov/news-events/nih-research-matters/exercise-induced-protein-may-reverse-age-related-cognitive-decline
- https://nih.gov/news-events/nih-research-matters/why-protective-antibodies-fade-after-covid-19-vaccines
- https://www.nih.gov/news-events/nih-research-matters/dementia-free-years-may-decrease-smoking-hypertension-diabetes
- https://www.nih.gov/news-events/nih-research-matters/dna-organization-changes-alzheimers-disease-aging
- https://nih.gov/news-events/nih-research-matters/slow-vaccine-delivery-improves-immune-response-hiv
- https://www.nih.gov/about-nih/what-we-do/nih-almanac/fogarty-international-center-fic
- https://nih.gov/news-events/nih-research-matters/lab-made-eye-cells-restore-vision-mice
- https://www.nih.gov/news-events/nih-research-matters/how-football-raises-risk-chronic-traumatic-encephalopathy
- https://nih.gov/news-events/nih-research-matters/covid-19-immune-response-improves-months-after-vaccination
- https://nih.gov/news-events/nih-research-matters/tracking-sars-cov-2-variants-wastewater
- https://nih.gov/news-events/nih-research-matters/spinal-cord-stimulation-improves-hand-grip-after-cervical-spinal-injury
- https://nih.gov/nih-style-guide/age
- https://nih.gov/health-information/your-healthiest-self-wellness-toolkits/physical-wellness-toolkit/physical-wellness-toolkit-more-resources
- https://nih.gov/news-events/nih-research-matters/infections-falls-increased-private-equity-owned-hospitals

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r73

### Example pages
- https://nih.gov/news-events/nih-research-matters/exercise-induced-protein-may-reverse-age-related-cognitive-decline
- https://nih.gov/news-events/nih-research-matters/why-protective-antibodies-fade-after-covid-19-vaccines
- https://www.nih.gov/news-events/nih-research-matters/dementia-free-years-may-decrease-smoking-hypertension-diabetes

---

## Target size is at least 44×44 CSS pixels (Enhanced) (WCAG 2.5.5)

**Bug ID:** `VS-01a9076b`  
**Pattern ID:** `VS-cb53cc4d`  
**URL:** https://nih.gov/news-events/nih-research-matters/exercise-induced-protein-may-reverse-age-related-cognitive-decline  
**XPath / selector:** `<a class="usa-button" href="/web-modernization">`  
**WCAG SC:** 2.5.5 — Target Size (Enhanced) (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r111` ([reference](https://alfa.siteimprove.com/rules/sia-r111))  
**Severity:** Moderate  
**Frequency:** 453 instances; 14 of 3333 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W37 (11 weeks)

### Description
Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 14 of 3333 scanned pages (453 instances).

### Steps to reproduce
1. Open https://nih.gov/news-events/nih-research-matters/exercise-induced-protein-may-reverse-age-related-cognitive-decline.
2. Locate the element: <a class="usa-button" href="/web-modernization">
3. Confirm the Siteimprove Alfa finding for rule sia-r111 against WCAG 2.5.5 Target Size (Enhanced).

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://nih.gov/news-events/nih-research-matters/exercise-induced-protein-may-reverse-age-related-cognitive-decline
- https://nih.gov/news-events/nih-research-matters/why-protective-antibodies-fade-after-covid-19-vaccines
- https://www.nih.gov/news-events/nih-research-matters/dementia-free-years-may-decrease-smoking-hypertension-diabetes
- https://www.nih.gov/news-events/nih-research-matters/dna-organization-changes-alzheimers-disease-aging
- https://nih.gov/news-events/nih-research-matters/slow-vaccine-delivery-improves-immune-response-hiv
- https://www.nih.gov/about-nih/what-we-do/nih-almanac/fogarty-international-center-fic
- https://nih.gov/news-events/nih-research-matters/lab-made-eye-cells-restore-vision-mice
- https://www.nih.gov/news-events/nih-research-matters/how-football-raises-risk-chronic-traumatic-encephalopathy
- https://nih.gov/news-events/nih-research-matters/covid-19-immune-response-improves-months-after-vaccination
- https://nih.gov/news-events/nih-research-matters/tracking-sars-cov-2-variants-wastewater
- https://nih.gov/news-events/nih-research-matters/spinal-cord-stimulation-improves-hand-grip-after-cervical-spinal-injury
- https://nih.gov/nih-style-guide/age
- https://nih.gov/health-information/your-healthiest-self-wellness-toolkits/physical-wellness-toolkit/physical-wellness-toolkit-more-resources
- https://nih.gov/news-events/nih-research-matters/infections-falls-increased-private-equity-owned-hospitals

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r111

### Example pages
- https://nih.gov/news-events/nih-research-matters/exercise-induced-protein-may-reverse-age-related-cognitive-decline
- https://nih.gov/news-events/nih-research-matters/why-protective-antibodies-fade-after-covid-19-vaccines
- https://www.nih.gov/news-events/nih-research-matters/dementia-free-years-may-decrease-smoking-hypertension-diabetes

---

## All page content should be contained by landmarks (WCAG criterion undetermined)

**Bug ID:** `VS-10655d5e`  
**Pattern ID:** `VS-f18df681`  
**URL:** https://nih.gov/news-events/nih-research-matters/exercise-induced-protein-may-reverse-age-related-cognitive-decline  
**XPath / selector:** `.usa-alert`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `region` ([reference](https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 46 instances; 23 of 3333 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W37 (13 weeks)

### HTML snippet
```html
<div class="usa-alert">
```

### Description
All page content should be contained by landmarks. Detected by axe-core rule region on 23 of 3333 scanned pages (46 instances).

### Steps to reproduce
1. Open https://nih.gov/news-events/nih-research-matters/exercise-induced-protein-may-reverse-age-related-cognitive-decline.
2. Locate the element: .usa-alert
3. Confirm the axe-core finding for rule region.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://nih.gov/news-events/nih-research-matters/exercise-induced-protein-may-reverse-age-related-cognitive-decline
- https://nih.gov/news-events/nih-research-matters/why-protective-antibodies-fade-after-covid-19-vaccines
- https://www.nih.gov/news-events/nih-research-matters/alcohol-related-deaths-increasing-nationwide
- https://www.nih.gov/news-events/nih-research-matters/dementia-free-years-may-decrease-smoking-hypertension-diabetes
- https://www.nih.gov/news-events/nih-research-matters/dna-organization-changes-alzheimers-disease-aging
- https://nih.gov/news-events/nih-research-matters/slow-vaccine-delivery-improves-immune-response-hiv
- https://www.nih.gov/about-nih/what-we-do/nih-almanac/fogarty-international-center-fic
- https://nih.gov/about-nih/nih-almanac/office-director-nih
- https://nih.gov/news-events/nih-research-matters/study-reveals-brain-networks-critical-conversation
- https://nih.gov/news-events/nih-research-matters/lab-made-eye-cells-restore-vision-mice
- https://www.nih.gov/brain-initiative/about/vision/brain-20-neuroethics-enabling-enhancing-neuroscience-advances-society
- https://www.nih.gov/news-events/nih-research-matters/how-football-raises-risk-chronic-traumatic-encephalopathy
- https://nih.gov/brain/about/vision/brain-2025-scientific-vision
- https://nih.gov/news-events/nih-research-matters/covid-19-immune-response-improves-months-after-vaccination
- https://nih.gov/news-events/nih-research-matters/skin-test-detects-evidence-parkinsons-related-disorders
- https://www.nih.gov//news-events/nih-research-matters/early-results-show-benefit-remdesivir-covid-19
- https://nih.gov/news-events/nih-research-matters/tracking-sars-cov-2-variants-wastewater
- https://www.nih.gov/health-information/nih-clinical-research-trials-you/promotional-materials
- https://nih.gov/news-events/nih-research-matters/spinal-cord-stimulation-improves-hand-grip-after-cervical-spinal-injury
- https://nih.gov/nih-style-guide/age
- https://nih.gov/health-information/your-healthiest-self-wellness-toolkits/physical-wellness-toolkit/physical-wellness-toolkit-more-resources
- https://nih.gov/news-events/nih-research-matters/infections-falls-increased-private-equity-owned-hospitals
- https://www.nih.gov/about-nih/nih-almanac/leadership/nih-directors

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI

### Example pages
- https://nih.gov/news-events/nih-research-matters/exercise-induced-protein-may-reverse-age-related-cognitive-decline
- https://nih.gov/news-events/nih-research-matters/why-protective-antibodies-fade-after-covid-19-vaccines
- https://www.nih.gov/news-events/nih-research-matters/alcohol-related-deaths-increasing-nationwide

---

## Heading levels should only increase by one (WCAG criterion undetermined)

**Bug ID:** `VS-bbac4e74`  
**Pattern ID:** `VS-d25f622d`  
**URL:** https://nih.gov/news-events/nih-research-matters/exercise-induced-protein-may-reverse-age-related-cognitive-decline  
**XPath / selector:** `.callout__text > h3`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `heading-order` ([reference](https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 19 instances; 19 of 3333 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W37 (11 weeks)

### HTML snippet
```html
<h3>At a Glance</h3>
```

### Description
Heading levels should only increase by one. Detected by axe-core rule heading-order on 19 of 3333 scanned pages (19 instances).

### Steps to reproduce
1. Open https://nih.gov/news-events/nih-research-matters/exercise-induced-protein-may-reverse-age-related-cognitive-decline.
2. Locate the element: .callout__text > h3
3. Confirm the axe-core finding for rule heading-order.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://nih.gov/news-events/nih-research-matters/exercise-induced-protein-may-reverse-age-related-cognitive-decline
- https://nih.gov/news-events/nih-research-matters/why-protective-antibodies-fade-after-covid-19-vaccines
- https://www.nih.gov/news-events/nih-research-matters/alcohol-related-deaths-increasing-nationwide
- https://www.nih.gov/news-events/nih-research-matters/dementia-free-years-may-decrease-smoking-hypertension-diabetes
- https://www.nih.gov/news-events/nih-research-matters/dna-organization-changes-alzheimers-disease-aging
- https://nih.gov/news-events/nih-research-matters/slow-vaccine-delivery-improves-immune-response-hiv
- https://nih.gov/news-events/nih-research-matters/study-reveals-brain-networks-critical-conversation
- https://nih.gov/news-events/nih-research-matters/lab-made-eye-cells-restore-vision-mice
- https://www.nih.gov/brain-initiative/about/vision/brain-20-neuroethics-enabling-enhancing-neuroscience-advances-society
- https://www.nih.gov/news-events/nih-research-matters/how-football-raises-risk-chronic-traumatic-encephalopathy
- https://nih.gov/brain/about/vision/brain-2025-scientific-vision
- https://nih.gov/news-events/nih-research-matters/covid-19-immune-response-improves-months-after-vaccination
- https://nih.gov/news-events/nih-research-matters/skin-test-detects-evidence-parkinsons-related-disorders
- https://www.nih.gov//news-events/nih-research-matters/early-results-show-benefit-remdesivir-covid-19
- https://nih.gov/news-events/nih-research-matters/tracking-sars-cov-2-variants-wastewater
- https://nih.gov/news-events/nih-research-matters/spinal-cord-stimulation-improves-hand-grip-after-cervical-spinal-injury
- https://nih.gov/health-information/your-healthiest-self-wellness-toolkits/physical-wellness-toolkit/physical-wellness-toolkit-more-resources
- https://nih.gov/news-events/nih-research-matters/infections-falls-increased-private-equity-owned-hospitals
- https://www.nih.gov/about-nih/nih-almanac/leadership/nih-directors

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Use heading levels in order (h1 → h2 → h3) without skipping; structure, not size.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI

### Example pages
- https://nih.gov/news-events/nih-research-matters/exercise-induced-protein-may-reverse-age-related-cognitive-decline
- https://nih.gov/news-events/nih-research-matters/why-protective-antibodies-fade-after-covid-19-vaccines
- https://www.nih.gov/news-events/nih-research-matters/alcohol-related-deaths-increasing-nationwide

---

## Landmarks should have a unique role or role/label/title (i.e. accessible name) c (WCAG criterion undetermined)

**Bug ID:** `VS-654086d6`  
**Pattern ID:** `VS-8806389c`  
**URL:** https://nih.gov/news-events/nih-research-matters/exercise-induced-protein-may-reverse-age-related-cognitive-decline  
**XPath / selector:** `#block-nih2-uswds-search`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-unique` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 15 instances; 15 of 3333 pages affected
  
**History:** first seen 2026-W29, last seen 2026-W37 (9 weeks)

### HTML snippet
```html
<div class="search-block-form usa-form block block-search container-inline" data-drupal-selector="search-block-form" id="block-nih2-uswds-search" role="search">
```

### Description
Landmarks should have a unique role or role/label/title (i.e. accessible name) c. Detected by axe-core rule landmark-unique on 15 of 3333 scanned pages (15 instances).

### Steps to reproduce
1. Open https://nih.gov/news-events/nih-research-matters/exercise-induced-protein-may-reverse-age-related-cognitive-decline.
2. Locate the element: #block-nih2-uswds-search
3. Confirm the axe-core finding for rule landmark-unique.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://nih.gov/news-events/nih-research-matters/exercise-induced-protein-may-reverse-age-related-cognitive-decline
- https://nih.gov/news-events/nih-research-matters/why-protective-antibodies-fade-after-covid-19-vaccines
- https://www.nih.gov/news-events/nih-research-matters/alcohol-related-deaths-increasing-nationwide
- https://www.nih.gov/news-events/nih-research-matters/dementia-free-years-may-decrease-smoking-hypertension-diabetes
- https://www.nih.gov/news-events/nih-research-matters/dna-organization-changes-alzheimers-disease-aging
- https://nih.gov/news-events/nih-research-matters/slow-vaccine-delivery-improves-immune-response-hiv
- https://nih.gov/news-events/nih-research-matters/study-reveals-brain-networks-critical-conversation
- https://nih.gov/news-events/nih-research-matters/lab-made-eye-cells-restore-vision-mice
- https://www.nih.gov/news-events/nih-research-matters/how-football-raises-risk-chronic-traumatic-encephalopathy
- https://nih.gov/news-events/nih-research-matters/covid-19-immune-response-improves-months-after-vaccination
- https://nih.gov/news-events/nih-research-matters/skin-test-detects-evidence-parkinsons-related-disorders
- https://www.nih.gov//news-events/nih-research-matters/early-results-show-benefit-remdesivir-covid-19
- https://nih.gov/news-events/nih-research-matters/tracking-sars-cov-2-variants-wastewater
- https://nih.gov/news-events/nih-research-matters/spinal-cord-stimulation-improves-hand-grip-after-cervical-spinal-injury
- https://nih.gov/news-events/nih-research-matters/infections-falls-increased-private-equity-owned-hospitals

### Testing environment
Automated: axe-core, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** When a landmark role/type repeats (e.g. two <nav>s), give each a distinct accessible name with aria-label or aria-labelledby (e.g. "Primary" and "Footer" navigation) so screen-reader users can tell them apart.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI

### Example pages
- https://nih.gov/news-events/nih-research-matters/exercise-induced-protein-may-reverse-age-related-cognitive-decline
- https://nih.gov/news-events/nih-research-matters/why-protective-antibodies-fade-after-covid-19-vaccines
- https://www.nih.gov/news-events/nih-research-matters/alcohol-related-deaths-increasing-nationwide

---

## aria attribute is permitted for element role (WCAG criterion undetermined)

**Bug ID:** `VS-79eeac71`  
**Pattern ID:** `VS-e05344b9`  
**URL:** https://nih.gov/news-events/nih-research-matters/exercise-induced-protein-may-reverse-age-related-cognitive-decline  
**XPath / selector:** `@aria-label="Descripción de la agencia"`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r18` ([reference](https://alfa.siteimprove.com/rules/sia-r18))  
**Severity:** Moderate  
**Frequency:** 28 instances; 14 of 3333 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W37 (11 weeks)

### Description
aria attribute is permitted for element role. Detected by Siteimprove Alfa rule sia-r18 on 14 of 3333 scanned pages (28 instances).

### Steps to reproduce
1. Open https://nih.gov/news-events/nih-research-matters/exercise-induced-protein-may-reverse-age-related-cognitive-decline.
2. Locate the element: @aria-label="Descripción de la agencia"
3. Confirm the Siteimprove Alfa finding for rule sia-r18.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://nih.gov/news-events/nih-research-matters/exercise-induced-protein-may-reverse-age-related-cognitive-decline
- https://nih.gov/news-events/nih-research-matters/why-protective-antibodies-fade-after-covid-19-vaccines
- https://www.nih.gov/news-events/nih-research-matters/dementia-free-years-may-decrease-smoking-hypertension-diabetes
- https://www.nih.gov/news-events/nih-research-matters/dna-organization-changes-alzheimers-disease-aging
- https://nih.gov/news-events/nih-research-matters/slow-vaccine-delivery-improves-immune-response-hiv
- https://www.nih.gov/about-nih/what-we-do/nih-almanac/fogarty-international-center-fic
- https://nih.gov/news-events/nih-research-matters/lab-made-eye-cells-restore-vision-mice
- https://www.nih.gov/news-events/nih-research-matters/how-football-raises-risk-chronic-traumatic-encephalopathy
- https://nih.gov/news-events/nih-research-matters/covid-19-immune-response-improves-months-after-vaccination
- https://nih.gov/news-events/nih-research-matters/tracking-sars-cov-2-variants-wastewater
- https://nih.gov/news-events/nih-research-matters/spinal-cord-stimulation-improves-hand-grip-after-cervical-spinal-injury
- https://nih.gov/nih-style-guide/age
- https://nih.gov/health-information/your-healthiest-self-wellness-toolkits/physical-wellness-toolkit/physical-wellness-toolkit-more-resources
- https://nih.gov/news-events/nih-research-matters/infections-falls-increased-private-equity-owned-hospitals

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Only use ARIA states/properties that are allowed on this element/role.

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r18

### Example pages
- https://nih.gov/news-events/nih-research-matters/exercise-induced-protein-may-reverse-age-related-cognitive-decline
- https://nih.gov/news-events/nih-research-matters/why-protective-antibodies-fade-after-covid-19-vaccines
- https://www.nih.gov/news-events/nih-research-matters/dementia-free-years-may-decrease-smoking-hypertension-diabetes

---

## Form field label is visible (WCAG criterion undetermined)

**Bug ID:** `VS-3378c509`  
**Pattern ID:** `VS-7118fead`  
**URL:** https://nih.gov/news-events/nih-research-matters/exercise-induced-protein-may-reverse-age-related-cognitive-decline  
**XPath / selector:** `{"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r61` ([reference](https://alfa.siteimprove.com/rules/sia-r61))  
**Severity:** Moderate  
**Frequency:** 14 instances; 14 of 3333 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W37 (11 weeks)

### Description
Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 14 of 3333 scanned pages (14 instances).

### Steps to reproduce
1. Open https://nih.gov/news-events/nih-research-matters/exercise-induced-protein-may-reverse-age-related-cognitive-decline.
2. Locate the element: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
3. Confirm the Siteimprove Alfa finding for rule sia-r61.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://nih.gov/news-events/nih-research-matters/exercise-induced-protein-may-reverse-age-related-cognitive-decline
- https://nih.gov/news-events/nih-research-matters/why-protective-antibodies-fade-after-covid-19-vaccines
- https://www.nih.gov/news-events/nih-research-matters/dementia-free-years-may-decrease-smoking-hypertension-diabetes
- https://www.nih.gov/news-events/nih-research-matters/dna-organization-changes-alzheimers-disease-aging
- https://nih.gov/news-events/nih-research-matters/slow-vaccine-delivery-improves-immune-response-hiv
- https://www.nih.gov/about-nih/what-we-do/nih-almanac/fogarty-international-center-fic
- https://nih.gov/news-events/nih-research-matters/lab-made-eye-cells-restore-vision-mice
- https://www.nih.gov/news-events/nih-research-matters/how-football-raises-risk-chronic-traumatic-encephalopathy
- https://nih.gov/news-events/nih-research-matters/covid-19-immune-response-improves-months-after-vaccination
- https://nih.gov/news-events/nih-research-matters/tracking-sars-cov-2-variants-wastewater
- https://nih.gov/news-events/nih-research-matters/spinal-cord-stimulation-improves-hand-grip-after-cervical-spinal-injury
- https://nih.gov/nih-style-guide/age
- https://nih.gov/health-information/your-healthiest-self-wellness-toolkits/physical-wellness-toolkit/physical-wellness-toolkit-more-resources
- https://nih.gov/news-events/nih-research-matters/infections-falls-increased-private-equity-owned-hospitals

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r61

### Example pages
- https://nih.gov/news-events/nih-research-matters/exercise-induced-protein-may-reverse-age-related-cognitive-decline
- https://nih.gov/news-events/nih-research-matters/why-protective-antibodies-fade-after-covid-19-vaccines
- https://www.nih.gov/news-events/nih-research-matters/dementia-free-years-may-decrease-smoking-hypertension-diabetes

---

## Scrolling content can be accessed by keyboard (WCAG criterion undetermined)

**Bug ID:** `VS-d758e04f`  
**Pattern ID:** `VS-c18be945`  
**URL:** https://nih.gov/news-events/nih-research-matters/exercise-induced-protein-may-reverse-age-related-cognitive-decline  
**XPath / selector:** `text: "NIH Websites Are Changing"`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r57` ([reference](https://alfa.siteimprove.com/rules/sia-r57))  
**Severity:** Moderate  
**Frequency:** 56 instances; 14 of 3333 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W37 (11 weeks)

### Description
Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 14 of 3333 scanned pages (56 instances).

### Steps to reproduce
1. Open https://nih.gov/news-events/nih-research-matters/exercise-induced-protein-may-reverse-age-related-cognitive-decline.
2. Locate the element: text: "NIH Websites Are Changing"
3. Confirm the Siteimprove Alfa finding for rule sia-r57.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://nih.gov/news-events/nih-research-matters/exercise-induced-protein-may-reverse-age-related-cognitive-decline
- https://nih.gov/news-events/nih-research-matters/why-protective-antibodies-fade-after-covid-19-vaccines
- https://www.nih.gov/news-events/nih-research-matters/dementia-free-years-may-decrease-smoking-hypertension-diabetes
- https://www.nih.gov/news-events/nih-research-matters/dna-organization-changes-alzheimers-disease-aging
- https://nih.gov/news-events/nih-research-matters/slow-vaccine-delivery-improves-immune-response-hiv
- https://www.nih.gov/about-nih/what-we-do/nih-almanac/fogarty-international-center-fic
- https://nih.gov/news-events/nih-research-matters/lab-made-eye-cells-restore-vision-mice
- https://www.nih.gov/news-events/nih-research-matters/how-football-raises-risk-chronic-traumatic-encephalopathy
- https://nih.gov/news-events/nih-research-matters/covid-19-immune-response-improves-months-after-vaccination
- https://nih.gov/news-events/nih-research-matters/tracking-sars-cov-2-variants-wastewater
- https://nih.gov/news-events/nih-research-matters/spinal-cord-stimulation-improves-hand-grip-after-cervical-spinal-injury
- https://nih.gov/nih-style-guide/age
- https://nih.gov/health-information/your-healthiest-self-wellness-toolkits/physical-wellness-toolkit/physical-wellness-toolkit-more-resources
- https://nih.gov/news-events/nih-research-matters/infections-falls-increased-private-equity-owned-hospitals

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
See remediation guidance: https://alfa.siteimprove.com/rules/sia-r57

### Example pages
- https://nih.gov/news-events/nih-research-matters/exercise-induced-protein-may-reverse-age-related-cognitive-decline
- https://nih.gov/news-events/nih-research-matters/why-protective-antibodies-fade-after-covid-19-vaccines
- https://www.nih.gov/news-events/nih-research-matters/dementia-free-years-may-decrease-smoking-hypertension-diabetes

---

## Headings are structured hierarchically (WCAG criterion undetermined)

**Bug ID:** `VS-ae11b627`  
**Pattern ID:** `VS-f054f4a4`  
**URL:** https://nih.gov/news-events/nih-research-matters/exercise-induced-protein-may-reverse-age-related-cognitive-decline  
**XPath / selector:** `<h3>`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r53` ([reference](https://alfa.siteimprove.com/rules/sia-r53))  
**Severity:** Moderate  
**Frequency:** 12 instances; 12 of 3333 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W37 (10 weeks)

### Description
Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 12 of 3333 scanned pages (12 instances).

### Steps to reproduce
1. Open https://nih.gov/news-events/nih-research-matters/exercise-induced-protein-may-reverse-age-related-cognitive-decline.
2. Locate the element: <h3>
3. Confirm the Siteimprove Alfa finding for rule sia-r53.

### Impact
Not captured by automated scan — requires manual testing.

### Affected pages
- https://nih.gov/news-events/nih-research-matters/exercise-induced-protein-may-reverse-age-related-cognitive-decline
- https://nih.gov/news-events/nih-research-matters/why-protective-antibodies-fade-after-covid-19-vaccines
- https://www.nih.gov/news-events/nih-research-matters/dementia-free-years-may-decrease-smoking-hypertension-diabetes
- https://www.nih.gov/news-events/nih-research-matters/dna-organization-changes-alzheimers-disease-aging
- https://nih.gov/news-events/nih-research-matters/slow-vaccine-delivery-improves-immune-response-hiv
- https://nih.gov/news-events/nih-research-matters/lab-made-eye-cells-restore-vision-mice
- https://www.nih.gov/news-events/nih-research-matters/how-football-raises-risk-chronic-traumatic-encephalopathy
- https://nih.gov/news-events/nih-research-matters/covid-19-immune-response-improves-months-after-vaccination
- https://nih.gov/news-events/nih-research-matters/tracking-sars-cov-2-variants-wastewater
- https://nih.gov/news-events/nih-research-matters/spinal-cord-stimulation-improves-hand-grip-after-cervical-spinal-injury
- https://nih.gov/health-information/your-healthiest-self-wellness-toolkits/physical-wellness-toolkit/physical-wellness-toolkit-more-resources
- https://nih.gov/news-events/nih-research-matters/infections-falls-increased-private-equity-owned-hospitals

### Testing environment
Automated: Siteimprove Alfa, headless Chromium (Playwright). Manual AT verification: Not captured by automated scan — requires manual testing.

### Suggested fix
**How to fix:** Use headings in a logical, non-skipping order.

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r53

### Example pages
- https://nih.gov/news-events/nih-research-matters/exercise-induced-protein-may-reverse-age-related-cognitive-decline
- https://nih.gov/news-events/nih-research-matters/why-protective-antibodies-fade-after-covid-19-vaccines
- https://www.nih.gov/news-events/nih-research-matters/dementia-free-years-may-decrease-smoking-hypertension-diabetes
