vital-scans open quality ledger

nih.gov: Accessibility — week 2026-W38

Automated Accessibility Conformance Report (OpenACR): Download ACR. Machine-readable; compatible with GSA OpenACR tooling. Automated tools find ~⅓ of real barriers — supplement with manual AT testing.

Training priorities

Top WCAG success criteria by pages affected this week. Use these to focus team training on the highest-impact issues.

SCCriterionPagesRulesNotes
1.4.1 Use of Color 33 2
1.4.6 WCAG 1.4.6 11 1
1.4.8 WCAG 1.4.8 11 1
2.5.5 WCAG 2.5.5 11 1
1.3.1 Info and Relationships (semantic structure) 4 2

Next 10 actions

Clusters are fingerprinted by normalized selector path + rule id + snippet shape. Rank score = (severity weight × pages affected) / distinct components for the rule. This supersedes the template threshold heuristic while still surfacing it as a validation signal.

Top 10 clustered component fixes for this week.
ClusterSeverityPagesWho it affectsHow to fixEvidenceDecision
All page content should be contained by landmarks · unattributed component
Fix one place, resolve ~22 finding(s) on 22 page(s).
XPath / selector: .usa-alert
<div class="usa-alert">
Moderate 22 Requires manual testing. Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region. pages (CSV)
Landmarks should have a unique role or role/label/title (i.e. accessible name) c · unattributed component
Fix one place, resolve ~11 finding(s) on 11 page(s).
XPath / selector: #block-nih2-uswds-search
<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">
Moderate 11 Requires manual testing. 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. pages (CSV)
All page content should be contained by landmarks · unattributed component
Fix one place, resolve ~21 finding(s) on 21 page(s).
XPath / selector: #system-breadcrumb
<h2 id="system-breadcrumb" class="visually-hidden">Breadcrumb</h2>
Moderate 21 Requires manual testing. Wrap all page content in landmarks (header, nav, main, footer) so users can navigate by region. pages (CSV)
Form field label is visible · unattributed component
Fix one place, resolve ~11 finding(s) on 11 page(s).
XPath / selector: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
Moderate 11 Requires manual testing. See remediation guidance: https://alfa.siteimprove.com/rules/sia-r61 pages (CSV)
aria attribute is permitted for element role · unattributed component
Fix one place, resolve ~11 finding(s) on 11 page(s).
XPath / selector: @aria-label="Descripción de la agencia"
Moderate 11 Requires manual testing. Only use ARIA states/properties that are allowed on this element/role. pages (CSV)
aria attribute is permitted for element role · unattributed component
Fix one place, resolve ~11 finding(s) on 11 page(s).
XPath / selector: @aria-label="Official website of the Department of Health and Human Services"
Moderate 11 Requires manual testing. Only use ARIA states/properties that are allowed on this element/role. pages (CSV)
Text has enhanced contrast · unattributed component
Fix one place, resolve ~11 finding(s) on 11 page(s).
XPath / selector: text: "Get the Latest Updates and FAQs"
Moderate 11 Requires manual testing. Increase text contrast to meet WCAG AAA (7:1). pages (CSV)
Text has enhanced contrast · unattributed component
Fix one place, resolve ~11 finding(s) on 11 page(s).
XPath / selector: text: "Health Information"
Moderate 11 Requires manual testing. Increase text contrast to meet WCAG AAA (7:1). pages (CSV)
Text has enhanced contrast · unattributed component
Fix one place, resolve ~11 finding(s) on 11 page(s).
XPath / selector: text: "Grants & Funding"
Moderate 11 Requires manual testing. Increase text contrast to meet WCAG AAA (7:1). pages (CSV)
Scrolling content can be accessed by keyboard · unattributed component
Fix one place, resolve ~11 finding(s) on 11 page(s).
XPath / selector: text: "NIH Websites Are Changing"
Moderate 11 Requires manual testing. See remediation guidance: https://alfa.siteimprove.com/rules/sia-r57 pages (CSV)

Bug reports

4 issue type(s) are shown by default out of 19 total. Prioritized by severity, key pages, WCAG level, and prevalence; use the toggle to show everything.

Overall severity mix: 1 critical, 2 serious, 15 moderate, 1 minor. By WCAG category: 5 WCAG 2.0 A, 3 WCAG 2.x AAA, 5 Best Practice, 6 Undetermined. Ordered by severity, key-page impact, WCAG level, and prevalence. Following accessibility bug-reporting best practices. Download: Markdown · JSON (full archive) · JSON (AI diagnostic) · CSV (all findings) · Priority pages CSV · Priority pages JSON.

Automated testing does not establish full WCAG conformance. Findings in the verification lane require manual testing before they are treated as confirmed failures.

Default view shows 4 prioritized issue type(s); 15 more are available if you switch to "Show everything".

2 finding(s) marked "possible duplicate" — Alfa and axe-core both flagged the same WCAG SC on overlapping pages. If they target the same element, the axe-core report is authoritative. Filter the CSV by possible_duplicate_of to see these. Two engines flagging the same barrier reduces the chance of a false positive.

Findings needing review

These findings need manual verification before they can be treated as confirmed failures. Obligation remains visible for each finding.

Link to this finding Serious axe link-in-text-block WCAG 2.0 A Links must be distinguishable without relying on color (WCAG 1.4.1) 22/3333 pages · 107 instances Likely template
Bug ID
VS-5f4d07c9
Pattern ID
VS-8ade3360
Combined ID
VS-5f4d07c9 (pattern VS-8ade3360) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.0 A
Obligation
required
Handling
review
WCAG SC
1.4.1 Use of Color (Level A, WCAG 2.0)
XPath / selector
p:nth-child(18) > a[data-extlink=""][target="_blank"][rel="noopener nofollow noreferrer"]
History
first seen 2026-W25, last seen 2026-W38 (14 wk)

HTML snippet — use this to validate the finding without re-running the tool

<a href="https://pubmed.ncbi.nlm.nih.gov/33582134/" class="ext" data-extlink="" target="_blank" rel="noopener nofollow noreferrer" title="(opens in a new window)">Hydrating the Respiratory Tract: An A

Description

Links must be distinguishable without relying on color. Detected by axe-core rule link-in-text-block on 22 of 3333 scanned pages (107 instances).

Steps to reproduce

  1. Open https://www.nih.gov/news-events/nih-research-matters/humidity-masks-may-lessen-severity-covid-19.
  2. Locate the element: p:nth-child(18) > 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

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

Link to this finding Serious axe list WCAG 2.0 A <ul> and <ol> must only directly contain <li>, <script> or <template> elements (WCAG 1.3.1) 2/3333 pages · 2 instances Likely content
Bug ID
VS-a6e489dd
Pattern ID
VS-a0bdbdf6
Combined ID
VS-a6e489dd (pattern VS-a0bdbdf6) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.0 A
Obligation
required
Handling
review
WCAG SC
1.3.1 Info and Relationships (Level A, WCAG 2.0)
XPath / selector
.usa-pagination__list
History
first seen 2026-W29, last seen 2026-W38 (8 wk)

HTML snippet — use this to validate the finding without re-running the tool

<ul class="usa-pagination__list pager__items js-pager__items">

Description

<ul> and <ol> must only directly contain <li>, <script> or <template> elements. Detected by axe-core rule list on 2 of 3333 scanned pages (2 instances).

Steps to reproduce

  1. Open https://www.nih.gov/heal/award-policy/data-sharing-policy/common-data-elements-cdes-repository?page=15.
  2. Locate the element: .usa-pagination__list
  3. Confirm the axe-core finding for rule list against WCAG 1.3.1 Info and Relationships.

Impact

Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).

  • Without vision — 1.0% of population
  • Limited vision — 2.4% of population
  • Limited cognitive, language, or learning ability — 11.0% of population

Affected pages

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 <ul>/<ol> with only <li> children for lists; don't fake lists with <div>s.

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

Link to this finding Critical axe image-alt WCAG 2.0 A Images must have alternative text (WCAG 1.1.1) 1/3333 pages · 2 instances Likely content
Bug ID
VS-2713084d
Pattern ID
VS-9074b4dd
Combined ID
VS-2713084d (pattern VS-9074b4dd) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.0 A
Obligation
required
Handling
review
WCAG SC
1.1.1 Non-text Content (Level A, WCAG 2.0)
XPath / selector
a[title="NIH News in Health"] > .thumbnail-teaser__img > .image-style-thumbnail-large[loading="lazy"][width="200"]
History
first seen 2026-W29, last seen 2026-W38 (7 wk)

HTML snippet — use this to validate the finding without re-running the tool

<img loading="lazy" src="/sites/default/files/styles/thumbnail_large/public/2024-12/newsinhealth-fanned-out.jpg?itok=DvFTBOva" width="200" height="auto" class="image-style-thumbnail-large">

Description

Images must have alternative text. Detected by axe-core rule image-alt on 1 of 3333 scanned pages (2 instances).

Steps to reproduce

  1. Open https://www.nih.gov/news-events.
  2. Locate the element: a[title="NIH News in Health"] > .thumbnail-teaser__img > .image-style-thumbnail-large[loading="lazy"][width="200"]
  3. Confirm the axe-core finding for rule image-alt against WCAG 1.1.1 Non-text Content.

Impact

Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).

  • Without vision — 1.0% of population
  • Limited vision — 2.4% of population
  • Limited cognitive, language, or learning ability — 11.0% of population

Affected pages

Testing environment

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

Suggested fix

How to fix: Give every <img> a meaningful alt attribute. Use alt="" only for decorative images so screen readers skip them.

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

Link to this finding Moderate alfa sia-r62 WCAG 2.0 A Link in text block is visually distinguishable without color (WCAG 1.4.1) 11/3333 pages · 31 instances · possible duplicate Likely template
Bug ID
VS-d7f68f66
Pattern ID
VS-efd91fdd
Combined ID
VS-d7f68f66 (pattern VS-efd91fdd) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.0 A
Obligation
required
Handling
review
WCAG SC
1.4.1 Use of Color (Level A, WCAG 2.0)
XPath / selector
<a href="https://www.hhs.gov/" class="ext" data-extlink="" target="_blank">
History
first seen 2026-W25, last seen 2026-W38 (12 wk)
Possible duplicate
Same WCAG SC covered by axe report VS-5f4d07c9 (pattern VS-8ade3360). If axe and this engine flag the same element, the axe report takes precedence — mark this as duplicate in JIRA.

Description

Link in text block is visually distinguishable without color. Detected by Siteimprove Alfa rule sia-r62 on 11 of 3333 scanned pages (31 instances).

Steps to reproduce

  1. Open https://www.nih.gov/news-events/nih-research-matters/humidity-masks-may-lessen-severity-covid-19.
  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

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

Link to this finding Moderate axe region Best Practice All page content should be contained by landmarks (WCAG criterion undetermined) 22/3333 pages · 43 instances Likely template
Bug ID
VS-729f71d8
Pattern ID
VS-f18df681
Combined ID
VS-729f71d8 (pattern VS-f18df681) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Best Practice
Obligation
advisory
Handling
review
WCAG SC
Best Practice — not a WCAG requirement
XPath / selector
.usa-alert
History
first seen 2026-W25, last seen 2026-W38 (14 wk)

HTML snippet — use this to validate the finding without re-running the tool

<div class="usa-alert">

Description

All page content should be contained by landmarks. Detected by axe-core rule region on 22 of 3333 scanned pages (43 instances).

Steps to reproduce

  1. Open https://www.nih.gov/news-events/nih-research-matters/humidity-masks-may-lessen-severity-covid-19.
  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

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

Link to this finding Moderate axe heading-order Best Practice Heading levels should only increase by one (WCAG criterion undetermined) 16/3333 pages · 16 instances Likely template
Bug ID
VS-934a8b3b
Pattern ID
VS-d25f622d
Combined ID
VS-934a8b3b (pattern VS-d25f622d) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Best Practice
Obligation
advisory
Handling
review
WCAG SC
Best Practice — not a WCAG requirement
XPath / selector
.callout__text > h3
History
first seen 2026-W25, last seen 2026-W38 (12 wk)

HTML snippet — use this to validate the finding without re-running the tool

<h3>At a Glance</h3>

Description

Heading levels should only increase by one. Detected by axe-core rule heading-order on 16 of 3333 scanned pages (16 instances).

Steps to reproduce

  1. Open https://www.nih.gov/news-events/nih-research-matters/humidity-masks-may-lessen-severity-covid-19.
  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

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

Link to this finding Moderate alfa sia-r66 WCAG 2.x AAA Text has enhanced contrast (WCAG 1.4.6) 11/3333 pages · 591 instances Likely template
Bug ID
VS-771e89fe
Pattern ID
VS-646b1e0b
Combined ID
VS-771e89fe (pattern VS-646b1e0b) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.x AAA
Obligation
aspirational
Handling
review
WCAG SC
1.4.6 Contrast (Enhanced) (Level AAA, WCAG 2.0)
XPath / selector
text: "Get the Latest Updates and FAQs"
History
first seen 2026-W25, last seen 2026-W38 (12 wk)

Description

Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 11 of 3333 scanned pages (591 instances).

Steps to reproduce

  1. Open https://www.nih.gov/news-events/nih-research-matters/humidity-masks-may-lessen-severity-covid-19.
  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

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

Link to this finding Moderate alfa sia-r111 WCAG 2.x AAA Target size is at least 44×44 CSS pixels (Enhanced) (WCAG 2.5.5) 11/3333 pages · 370 instances Likely template
Bug ID
VS-6575ea9f
Pattern ID
VS-cb53cc4d
Combined ID
VS-6575ea9f (pattern VS-cb53cc4d) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.x AAA
Obligation
aspirational
Handling
review
WCAG SC
2.5.5 Target Size (Enhanced) (Level AAA, WCAG 2.1)
XPath / selector
<a class="usa-button" href="/web-modernization">
History
first seen 2026-W25, last seen 2026-W38 (12 wk)

Description

Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 11 of 3333 scanned pages (370 instances).

Steps to reproduce

  1. Open https://www.nih.gov/news-events/nih-research-matters/humidity-masks-may-lessen-severity-covid-19.
  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

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

Link to this finding Moderate alfa sia-r57 Undetermined Scrolling content can be accessed by keyboard (WCAG criterion undetermined) 11/3333 pages · 44 instances Likely template
Bug ID
VS-298007c7
Pattern ID
VS-c18be945
Combined ID
VS-298007c7 (pattern VS-c18be945) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Undetermined
Obligation
unmapped
Handling
review
WCAG SC
undetermined
XPath / selector
text: "NIH Websites Are Changing"
History
first seen 2026-W25, last seen 2026-W38 (12 wk)

Description

Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 11 of 3333 scanned pages (44 instances).

Steps to reproduce

  1. Open https://www.nih.gov/news-events/nih-research-matters/humidity-masks-may-lessen-severity-covid-19.
  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

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

Link to this finding Moderate alfa sia-r73 WCAG 2.x AAA Text has minimum contrast ratio of 4.5:1 (WCAG 1.4.8) 11/3333 pages · 35 instances Likely template
Bug ID
VS-9816ce07
Pattern ID
VS-2208081b
Combined ID
VS-9816ce07 (pattern VS-2208081b) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.x AAA
Obligation
aspirational
Handling
review
WCAG SC
1.4.8 Visual Presentation (Level AAA, WCAG 2.0)
XPath / selector
<p class="usa-banner__header-text">
History
first seen 2026-W25, last seen 2026-W38 (12 wk)

Description

Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 11 of 3333 scanned pages (35 instances).

Steps to reproduce

  1. Open https://www.nih.gov/news-events/nih-research-matters/humidity-masks-may-lessen-severity-covid-19.
  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

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

Link to this finding Moderate alfa sia-r18 Undetermined aria attribute is permitted for element role (WCAG criterion undetermined) 11/3333 pages · 22 instances Likely template
Bug ID
VS-eed9a938
Pattern ID
VS-e05344b9
Combined ID
VS-eed9a938 (pattern VS-e05344b9) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Undetermined
Obligation
unmapped
Handling
review
WCAG SC
undetermined
XPath / selector
@aria-label="Descripción de la agencia"
History
first seen 2026-W25, last seen 2026-W38 (12 wk)

Description

aria attribute is permitted for element role. Detected by Siteimprove Alfa rule sia-r18 on 11 of 3333 scanned pages (22 instances).

Steps to reproduce

  1. Open https://www.nih.gov/news-events/nih-research-matters/humidity-masks-may-lessen-severity-covid-19.
  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

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

Link to this finding Moderate alfa sia-r61 Undetermined Form field label is visible (WCAG criterion undetermined) 11/3333 pages · 11 instances Likely template
Bug ID
VS-9b0f0599
Pattern ID
VS-7118fead
Combined ID
VS-9b0f0599 (pattern VS-7118fead) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Undetermined
Obligation
unmapped
Handling
review
WCAG SC
undetermined
XPath / selector
{"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
History
first seen 2026-W25, last seen 2026-W38 (12 wk)

Description

Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 11 of 3333 scanned pages (11 instances).

Steps to reproduce

  1. Open https://www.nih.gov/news-events/nih-research-matters/humidity-masks-may-lessen-severity-covid-19.
  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

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

Link to this finding Moderate axe landmark-unique Best Practice Landmarks should have a unique role or role/label/title (i.e. accessible name) c (WCAG criterion undetermined) 11/3333 pages · 11 instances Likely template
Bug ID
VS-65ccc77e
Pattern ID
VS-8806389c
Combined ID
VS-65ccc77e (pattern VS-8806389c) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Best Practice
Obligation
advisory
Handling
review
WCAG SC
Best Practice — not a WCAG requirement
XPath / selector
#block-nih2-uswds-search
History
first seen 2026-W29, last seen 2026-W38 (10 wk)

HTML snippet — use this to validate the finding without re-running the tool

<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 11 of 3333 scanned pages (11 instances).

Steps to reproduce

  1. Open https://www.nih.gov/news-events/nih-research-matters/humidity-masks-may-lessen-severity-covid-19.
  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

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

Link to this finding Moderate alfa sia-r53 Undetermined Headings are structured hierarchically (WCAG criterion undetermined) 8/3333 pages · 8 instances
Bug ID
VS-ed2b0086
Pattern ID
VS-f054f4a4
Combined ID
VS-ed2b0086 (pattern VS-f054f4a4) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Undetermined
Obligation
unmapped
Handling
review
WCAG SC
undetermined
XPath / selector
<h3>
History
first seen 2026-W25, last seen 2026-W38 (11 wk)

Description

Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 8 of 3333 scanned pages (8 instances).

Steps to reproduce

  1. Open https://www.nih.gov/news-events/nih-research-matters/humidity-masks-may-lessen-severity-covid-19.
  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

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

Link to this finding Moderate alfa sia-r85 Undetermined Keyboard trap does not exist (WCAG criterion undetermined) 3/3333 pages · 4 instances
Bug ID
VS-8d55d478
Pattern ID
VS-4c341c77
Combined ID
VS-8d55d478 (pattern VS-4c341c77) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Undetermined
Obligation
unmapped
Handling
review
WCAG SC
undetermined
XPath / selector
<p class="nih-subtitle">
History
first seen 2026-W29, last seen 2026-W38 (9 wk)

Description

Keyboard trap does not exist. Detected by Siteimprove Alfa rule sia-r85 on 3 of 3333 scanned pages (4 instances).

Steps to reproduce

  1. Open https://www.nih.gov/news-events/news-releases/dr-jonathan-m-green-selected-ceo-nih-clinical-center.
  2. Locate the element: <p class="nih-subtitle">
  3. Confirm the Siteimprove Alfa finding for rule sia-r85.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

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-r85

Link to this finding Minor axe empty-heading Best Practice Headings should not be empty (WCAG criterion undetermined) 3/3333 pages · 3 instances
Bug ID
VS-7191385e
Pattern ID
VS-0066c67d
Combined ID
VS-7191385e (pattern VS-0066c67d) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Best Practice
Obligation
advisory
Handling
review
WCAG SC
Best Practice — not a WCAG requirement
XPath / selector
article > div > h3
History
first seen 2026-W25, last seen 2026-W38 (10 wk)

HTML snippet — use this to validate the finding without re-running the tool

<h3></h3>

Description

Headings should not be empty. Detected by axe-core rule empty-heading on 3 of 3333 scanned pages (3 instances).

Steps to reproduce

  1. Open https://www.nih.gov/news-events/news-releases/nih-launches-21-million-initiative-improve-understanding-sex-specific-hormonal-biology.
  2. Locate the element: article > div > h3
  3. Confirm the axe-core finding for rule empty-heading.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

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 empty headings or give them text. Don't use heading tags for spacing.

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

Link to this finding Moderate alfa sia-r64 WCAG 2.0 A Element has required owned roles (WCAG 1.3.1) 2/3333 pages · 2 instances · possible duplicate Likely content
Bug ID
VS-1dbb64fc
Pattern ID
VS-3c632d31
Combined ID
VS-1dbb64fc (pattern VS-3c632d31) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
WCAG 2.0 A
Obligation
required
Handling
review
WCAG SC
1.3.1 Info and Relationships (Level A, WCAG 2.0)
XPath / selector
<h3>
History
first seen 2026-W25, last seen 2026-W38 (9 wk)
Possible duplicate
Same WCAG SC covered by axe report VS-a6e489dd (pattern VS-a0bdbdf6). If axe and this engine flag the same element, the axe report takes precedence — mark this as duplicate in JIRA.

Description

Element has required owned roles. Detected by Siteimprove Alfa rule sia-r64 on 2 of 3333 scanned pages (2 instances).

Steps to reproduce

  1. Open https://www.nih.gov/news-events/news-releases/dr-jonathan-m-green-selected-ceo-nih-clinical-center.
  2. Locate the element: <h3>
  3. Confirm the Siteimprove Alfa finding for rule sia-r64 against WCAG 1.3.1 Info and Relationships.

Impact

Affects Without vision (1.0%), Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).

  • Without vision — 1.0% of population
  • Limited vision — 2.4% of population
  • Limited cognitive, language, or learning ability — 11.0% of population

Affected pages

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-r64

Link to this finding Moderate alfa sia-r78 Undetermined Table header has scope (WCAG criterion undetermined) 2/3333 pages · 2 instances Likely content
Bug ID
VS-811c61db
Pattern ID
VS-2cd767ca
Combined ID
VS-811c61db (pattern VS-2cd767ca) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Undetermined
Obligation
unmapped
Handling
review
WCAG SC
undetermined
XPath / selector
<h3>
History
first seen 2026-W29, last seen 2026-W38 (7 wk)

Description

Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 2 of 3333 scanned pages (2 instances).

Steps to reproduce

  1. Open https://www.nih.gov/news-events/news-releases/dr-jonathan-m-green-selected-ceo-nih-clinical-center.
  2. Locate the element: <h3>
  3. Confirm the Siteimprove Alfa finding for rule sia-r78.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

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-r78

Link to this finding Moderate axe page-has-heading-one Best Practice Page should contain a level-one heading (WCAG criterion undetermined) 1/3333 pages · 1 instances Likely content
Bug ID
VS-fa135615
Pattern ID
VS-fa44f293
Combined ID
VS-fa135615 (pattern VS-fa44f293) — use this format in JIRA/spreadsheets to filter by instance or pattern
WCAG category
Best Practice
Obligation
advisory
Handling
review
WCAG SC
Best Practice — not a WCAG requirement
XPath / selector
html
History
first seen 2026-W25, last seen 2026-W38 (6 wk)

HTML snippet — use this to validate the finding without re-running the tool

<html lang="en" dir="ltr" prefix="og: https://ogp.me/ns#" class=" js">

Description

Page should contain a level-one heading. Detected by axe-core rule page-has-heading-one on 1 of 3333 scanned pages (1 instances).

Steps to reproduce

  1. Open https://www.nih.gov/news-events.
  2. Locate the element: html
  3. Confirm the axe-core finding for rule page-has-heading-one.

Impact

Not captured by automated scan — requires manual testing.

Affected pages

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/page-has-heading-one?application=axeAPI

Deque axe-core findings

Rule-level axe-core summary (8 rule type(s))

Each failing rule links out to the axe-core documentation. For full element-level detail including HTML snippets and XPaths, see the bug reports above.

axe-core rules failing in 2026-W38, by pages affected
RuleImpactPages affectedInstancesExample pagesAll affected
Links must be distinguishable without relying on color [link-in-text-block] serious 22 107 /news-events/nih-research-matters/humidity-masks-may-lessen-severity-covid-19
/news-events/nih-research-matters/understanding-exceptional-responders-cancer-treatment
/news-events/nih-research-matters/how-psychedelic-drugs-may-help-depression
all 22 pages (CSV)
All page content should be contained by landmarks [region] moderate 22 43 /news-events/nih-research-matters/humidity-masks-may-lessen-severity-covid-19
/news-events/nih-research-matters/understanding-exceptional-responders-cancer-treatment
/news-events/nih-research-matters/how-psychedelic-drugs-may-help-depression
all 22 pages (CSV)
Heading levels should only increase by one [heading-order] moderate 16 16 /news-events/nih-research-matters/humidity-masks-may-lessen-severity-covid-19
/news-events/nih-research-matters/understanding-exceptional-responders-cancer-treatment
/news-events/nih-research-matters/how-psychedelic-drugs-may-help-depression
all 16 pages (CSV)
Landmarks should have a unique role or role/label/title (i.e. accessible name) combination [landmark-unique] moderate 11 11 /news-events/nih-research-matters/humidity-masks-may-lessen-severity-covid-19
/news-events/nih-research-matters/understanding-exceptional-responders-cancer-treatment
/news-events/nih-research-matters/how-psychedelic-drugs-may-help-depression
all 11 pages (CSV)
Headings should not be empty [empty-heading] minor 3 3 /news-events/news-releases/nih-launches-21-million-initiative-improve-understanding-sex-specific-hormonal-biology
/news-events/news-releases/dr-jonathan-m-green-selected-ceo-nih-clinical-center
/news-events/news-releases/monoclonal-antibodies-crucial-fighting-emerging-infectious-diseases-say-nih-officials
all 3 pages (CSV)
<ul> and <ol> must only directly contain <li>, <script> or <template> elements [list] serious 2 2 /heal/award-policy/data-sharing-policy/common-data-elements-cdes-repository
/heal/award-policy/data-sharing-policy/common-data-elements-cdes-repository
all 2 pages (CSV)
Images must have alternative text [image-alt] critical 1 2 /news-events all 1 pages (CSV)
Page should contain a level-one heading [page-has-heading-one] moderate 1 1 /news-events all 1 pages (CSV)

Siteimprove Alfa findings

Rule-level Alfa summary (11 rule type(s))

Rule-level summary from Siteimprove Alfa (W3C ACT-based). Findings that overlap with axe-core on the same WCAG success criterion are noted as possible duplicates in the bug reports above.

Alfa rules failing in 2026-W38, by pages affected
RuleImpactPages affectedInstancesExample pagesAll affected
Text has enhanced contrast [sia-r66] n/a 11 591 /news-events/nih-research-matters/humidity-masks-may-lessen-severity-covid-19
/news-events/nih-research-matters/financial-problems-can-be-sign-dementia-onset
/news-events/nih-research-matters/researchers-find-cause-new-autoinflammatory-disease
all 11 pages (CSV)
Target size is at least 44×44 CSS pixels (Enhanced) [sia-r111] n/a 11 370 /news-events/nih-research-matters/humidity-masks-may-lessen-severity-covid-19
/news-events/nih-research-matters/financial-problems-can-be-sign-dementia-onset
/news-events/nih-research-matters/researchers-find-cause-new-autoinflammatory-disease
all 11 pages (CSV)
Scrolling content can be accessed by keyboard [sia-r57] n/a 11 44 /news-events/nih-research-matters/humidity-masks-may-lessen-severity-covid-19
/news-events/nih-research-matters/financial-problems-can-be-sign-dementia-onset
/news-events/nih-research-matters/researchers-find-cause-new-autoinflammatory-disease
all 11 pages (CSV)
Text has minimum contrast ratio of 4.5:1 [sia-r73] n/a 11 35 /news-events/nih-research-matters/humidity-masks-may-lessen-severity-covid-19
/news-events/nih-research-matters/financial-problems-can-be-sign-dementia-onset
/news-events/nih-research-matters/researchers-find-cause-new-autoinflammatory-disease
all 11 pages (CSV)
Link in text block is visually distinguishable without color [sia-r62] n/a 11 31 /news-events/nih-research-matters/humidity-masks-may-lessen-severity-covid-19
/news-events/nih-research-matters/financial-problems-can-be-sign-dementia-onset
/news-events/nih-research-matters/researchers-find-cause-new-autoinflammatory-disease
all 11 pages (CSV)
aria attribute is permitted for element role [sia-r18] n/a 11 22 /news-events/nih-research-matters/humidity-masks-may-lessen-severity-covid-19
/news-events/nih-research-matters/financial-problems-can-be-sign-dementia-onset
/news-events/nih-research-matters/researchers-find-cause-new-autoinflammatory-disease
all 11 pages (CSV)
Form field label is visible [sia-r61] n/a 11 11 /news-events/nih-research-matters/humidity-masks-may-lessen-severity-covid-19
/news-events/nih-research-matters/financial-problems-can-be-sign-dementia-onset
/news-events/nih-research-matters/researchers-find-cause-new-autoinflammatory-disease
all 11 pages (CSV)
Headings are structured hierarchically [sia-r53] n/a 8 8 /news-events/nih-research-matters/humidity-masks-may-lessen-severity-covid-19
/news-events/nih-research-matters/financial-problems-can-be-sign-dementia-onset
/news-events/nih-research-matters/researchers-find-cause-new-autoinflammatory-disease
all 8 pages (CSV)
Keyboard trap does not exist [sia-r85] n/a 3 4 /news-events/news-releases/dr-jonathan-m-green-selected-ceo-nih-clinical-center
/about-nih/nih-almanac/michael-gottesman-md
/news-events/news-releases/monoclonal-antibodies-crucial-fighting-emerging-infectious-diseases-say-nih-officials
all 3 pages (CSV)
Table header has scope [sia-r78] n/a 2 2 /news-events/news-releases/dr-jonathan-m-green-selected-ceo-nih-clinical-center
/news-events/news-releases/monoclonal-antibodies-crucial-fighting-emerging-infectious-diseases-say-nih-officials
all 2 pages (CSV)
Element has required owned roles [sia-r64] n/a 2 2 /news-events/news-releases/dr-jonathan-m-green-selected-ceo-nih-clinical-center
/news-events/news-releases/monoclonal-antibodies-crucial-fighting-emerging-infectious-diseases-say-nih-officials
all 2 pages (CSV)

Unique accessibility issues (axe + Alfa consolidated)

axe and Alfa both implement W3C ACT rules, so the same issue is often caught by both. These are deduplicated by ACT rule and page, so a shared finding counts once (170 raw engine findings → 168 unique).

Unique issues (rule × page)
168
Caught by both engines
2 highest confidence
axe only
76
Alfa only
90
1 rule type(s) caught by both engines — highest confidence

Two independent ACT-rule implementations (Deque axe-core and Siteimprove Alfa) flagged the same issue on the same pages. Agreement between separate engines is strong evidence the barrier is real, not a single-tool false positive — the best place to start.

Rules flagged by both axe-core and Alfa in 2026-W38, by pages affected.
IssuePagesRule references
Headings should not be empty3axe empty-heading · Alfa sia-r64 · ACT ffd0e9