# Accessibility bug reports — www.cdc.gov, week 2026-W29

86 issue type(s) from 3333 pages scanned. Generated 2026-07-24 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.

---
## Target size is at least 24×24 CSS pixels or has spacing (Minimum) (WCAG 2.5.8)

**Bug ID:** `VS-68a802f2`  
**Pattern ID:** `VS-179ad9b3`  
**URL:** https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5510a3.htm  
**XPath / selector:** `<a href="#content_area">`  
**WCAG SC:** 2.5.8 — Target Size (Minimum) (Level AA)  
**Rule:** Siteimprove Alfa — `sia-r113` ([reference](https://alfa.siteimprove.com/rules/sia-r113))  
**Severity:** Moderate  
**Frequency:** 5627 instances; 534 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### Description
Target size is at least 24×24 CSS pixels or has spacing (Minimum). Detected by Siteimprove Alfa rule sia-r113 on 534 of 3333 scanned pages (5627 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5510a3.htm.
2. Locate the element: <a href="#content_area">
3. Confirm the Siteimprove Alfa finding for rule sia-r113 against WCAG 2.5.8 Target Size (Minimum).

### Impact
Affects Limited manipulation/strength (13.0%), Limited reach (2.0%), Limited vision (2.4%).
- **Limited manipulation/strength** (13.0% of population)
- **Limited reach** (2.0% of population)
- **Limited vision** (2.4% of population)

### Affected pages
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5510a3.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00039349.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6006a6.htm?s_cid=mm6006a6_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00056485.htm
- https://www.cdc.gov/pcd/issues/2009/jan/07_0240.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6417a5.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6005a5.htm?s_cid=mm6005a5_w
- http://www.cdc.gov/pcd/issues/2009/jan/08_0009_fr.htm
- https://www.cdc.gov/nchs/hus/contents2019.htm?search=%2CState
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6142a1.htm?s_cid=mm6142a1_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6019md.htm?s_cid=mm6019md_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00001287.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6013md.htm?s_cid=mm6013md_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6004a9.htm?s_cid=mm6004a9_w
- http://www.cdc.gov/pcd/issues/2010/sep/10_0046.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/su5502a2.htm
- https://www.cdc.gov/nchs/products/databriefs/db360.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00045972.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6007a2.htm?s_cid=mm6007a2_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00016673.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00000621.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5644a6.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00000258.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5521a3.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6145a1.htm?s_cid=mm6145a1_w

…and more — 534 pages total ([download CSV](csv/alfa__sia-r113.csv)).

### 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-r113

### Example pages
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5510a3.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00039349.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6006a6.htm?s_cid=mm6006a6_w

---

## Accessible name of link or button matches visible label (WCAG 2.5.3)

**Bug ID:** `VS-3fb7f564`  
**Pattern ID:** `VS-f7dba940`  
**URL:** https://www.cdc.gov/listeria/outbreaks/meat-and-poultry-products-11-24/index.html  
**XPath / selector:** `<a href="/listeria/about/index.html" class="cdc-footer__super-title" aria-label="<em>Listeria </em>Infection (Listeriosis)">`  
**WCAG SC:** 2.5.3 — Label in Name (Level A)  
**Rule:** Siteimprove Alfa — `sia-r14` ([reference](https://alfa.siteimprove.com/rules/sia-r14))  
**Severity:** Moderate  
**Frequency:** 405 instances; 191 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### Description
Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 191 of 3333 scanned pages (405 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/listeria/outbreaks/meat-and-poultry-products-11-24/index.html.
2. Locate the element: <a href="/listeria/about/index.html" class="cdc-footer__super-title" aria-label="<em>Listeria </em>Infection (Listeriosis)">
3. Confirm the Siteimprove Alfa finding for rule sia-r14 against WCAG 2.5.3 Label in Name.

### Impact
Affects Without vision (1.0%), Without speech (0.5%).
- **Without vision** (1.0% of population)
- **Without speech** (0.5% of population)

### Affected pages
- https://www.cdc.gov/listeria/outbreaks/meat-and-poultry-products-11-24/index.html
- https://www.cdc.gov/mold-health/communication-resources/shopping-list-for-cleaning-mold.html
- https://www.cdc.gov/mycoplasma/php/surveillance/index.html
- https://www.cdc.gov/hearing-loss-children/es/screening/pruebas-de-deteccion-de-perdida-auditiva.html
- https://www.cdc.gov/data-interoperability/php/mdn
- https://www.cdc.gov/united-states-cancer-statistics/publications/prostate-cancer-stat-bite.html
- https://www.cdc.gov/parainfluenza/hcp/clinical-overview/index.html
- https://www.cdc.gov/cervical-cancer/es/stories/jen.html
- https://www.cdc.gov/niosh/school-safety/program/supplements.html
- https://www.cdc.gov/bird-flu/communication-resources/put-on-ppe-high-exposure.html
- https://www.cdc.gov/overdose-prevention/es/reversing-overdose/revertir-la-sobredosis-de-opioides-para-prevenir-la-muerte.html
- https://www.cdc.gov/tobacco/campaign/tips/spanish/historias/tammy-w.html
- https://www.cdc.gov/cryptosporidium/es/prevention/index.html
- https://www.cdc.gov/hepatitis/hcp/populations-settings/peh.html
- https://www.cdc.gov/natural-disasters/communication-resources/flooding-and-mold-activity-book.html
- http://www.cdc.gov/tobacco/campaign/tips/spanish/historias/elizabeth-b.html
- https://www.cdc.gov/united-states-cancer-statistics/publications/colorectal-cancer-stat-bite.html
- https://www.cdc.gov/nchs/covid19/rands/reduced-access-to-care.htm
- https://www.cdc.gov/monkeypox/es/causes/index.html
- http://www.cdc.gov/chikungunya/hcp/vaccines/index.html
- https://www.cdc.gov/natural-disasters/communication-resources/preventing-diarrheal-illness-after-a-disaster-factsheet.html
- https://www.cdc.gov/diabetes/es/diabetes-complications/recuperacion-despues-de-la-amputacion.html
- http://www.cdc.gov/tobacco/campaign/tips/spanish/poblaciones/hispano-latino.html
- https://www.cdc.gov/environmental-exposure-report/whats-new/whats-new-archives.html
- https://www.cdc.gov/environmental-health-tracking/php/data-research/pesticide-exposure.html

…and more — 191 pages total ([download CSV](csv/alfa__sia-r14.csv)).

### 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-r14

### Example pages
- https://www.cdc.gov/listeria/outbreaks/meat-and-poultry-products-11-24/index.html
- https://www.cdc.gov/mold-health/communication-resources/shopping-list-for-cleaning-mold.html
- https://www.cdc.gov/mycoplasma/php/surveillance/index.html

---

## Images must have alternative text (WCAG 1.1.1)

**Bug ID:** `VS-2981e623`  
**Pattern ID:** `VS-9074b4dd`  
**URL:** https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5510a3.htm  
**XPath / selector:** `td[rowspan="2"][width="10"]:nth-child(1) > img[alt=" "][width="10"][src$="spacer.gif"]`  
**WCAG SC:** 1.1.1 — Non-text Content (Level A)  
**Rule:** axe-core — `image-alt` ([reference](https://dequeuniversity.com/rules/axe/4.12/image-alt?application=axeAPI))  
**Severity:** Critical  
**Frequency:** 6181 instances; 622 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### HTML snippet
```html
<img src="../../images/spacer.gif" width="10" height="1" alt=" " border="0">
```

### Description
Images must have alternative text. Detected by axe-core rule image-alt on 622 of 3333 scanned pages (6181 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5510a3.htm.
2. Locate the element: td[rowspan="2"][width="10"]:nth-child(1) > img[alt=" "][width="10"][src$="spacer.gif"]
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
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5510a3.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00039349.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00056485.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00045578.htm
- https://www.cdc.gov/pcd/issues/2009/jan/07_0240.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm4937a6.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00020374.htm
- http://www.cdc.gov/pcd/issues/2009/jan/08_0009_fr.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm4913a3.htm
- https://www.cdc.gov/pcd/issues/2008/jan/06_0144_zht.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5528a9.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00001287.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5708md.htm
- https://www.cdc.gov/pcd/issues/2005/nov/05_0076_zhs.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00017905.htm
- http://www.cdc.gov/pcd/issues/2010/sep/10_0046.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00031512.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00001186.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/su5502a2.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00045972.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00016673.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00000621.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5644a6.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00000258.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5521a3.htm

…and more — 622 pages total ([download CSV](csv/axe-core__image-alt.csv)).

### 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

### Example pages
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5510a3.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00039349.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00056485.htm

---

## Image has accessible name (WCAG 1.1.1)

**Bug ID:** `VS-27f783be`  
**Pattern ID:** `VS-a24eaa8c`  
**URL:** https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5510a3.htm  
**XPath / selector:** `<img src="../../images/spacer.gif" width="10" height="1" alt=" ">`  
**WCAG SC:** 1.1.1 — Non-text Content (Level A)  
**Rule:** Siteimprove Alfa — `sia-r2` ([reference](https://alfa.siteimprove.com/rules/sia-r2))  
**Severity:** Moderate  
**Frequency:** 2694 instances; 297 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### Description
Image has accessible name. Detected by Siteimprove Alfa rule sia-r2 on 297 of 3333 scanned pages (2694 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5510a3.htm.
2. Locate the element: <img src="../../images/spacer.gif" width="10" height="1" alt=" ">
3. Confirm the Siteimprove Alfa finding for rule sia-r2 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
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5510a3.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00039349.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00056485.htm
- https://www.cdc.gov/pcd/issues/2009/jan/07_0240.htm
- http://www.cdc.gov/pcd/issues/2009/jan/08_0009_fr.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00001287.htm
- http://www.cdc.gov/pcd/issues/2010/sep/10_0046.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/su5502a2.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00045972.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00016673.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00000621.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5644a6.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00000258.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5521a3.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/ss4907a1.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00031321.htm
- https://www.cdc.gov/pcd/issues/2009/jan/07_0199_zhs.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5843a7.htm
- https://www.cdc.gov/pcd/es/2010_may_toc.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00020061.htm
- https://www.cdc.gov/pcd/issues/2010/may/09_0123_es.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm4824a2.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00000569.htm
- http://www.cdc.gov/pcd/issues/2009/jan/08_0026_zhs.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5744md.htm

…and more — 297 pages total ([download CSV](csv/alfa__sia-r2.csv)).

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

### Suggested fix
**How to fix:** Give every <img> an accessible name (alt text), or alt="" if purely decorative.

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r2

### Example pages
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5510a3.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00039349.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00056485.htm

---

## Certain ARIA roles must contain particular children (WCAG 1.3.1)

**Bug ID:** `VS-a5e73248`  
**Pattern ID:** `VS-9429bb8d`  
**URL:** https://www.cdc.gov/nchs/nvss/vsrr/mortality-dashboard.htm  
**XPath / selector:** `#indicators`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** axe-core — `aria-required-children` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-required-children?application=axeAPI))  
**Severity:** Critical  
**Frequency:** 5 instances; 3 of 3333 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W29 (5 weeks)

### HTML snippet
```html
<div id="indicators" role="listbox" aria-labelledby="indicatorsSelectHeader">
```

### Description
Certain ARIA roles must contain particular children. Detected by axe-core rule aria-required-children on 3 of 3333 scanned pages (5 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/nchs/nvss/vsrr/mortality-dashboard.htm.
2. Locate the element: #indicators
3. Confirm the axe-core finding for rule aria-required-children 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
- https://www.cdc.gov/nchs/nvss/vsrr/mortality-dashboard.htm
- https://www.cdc.gov/stophivtogether/hiv-testing/self-testing.html?s_cid=so_togetherconsumertk0295
- https://www.cdc.gov/contraception/hcp/usmec/intrauterine-devices.html

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

### Suggested fix
**How to fix:** Add the child roles this container role requires (e.g. a list needs listitem children).

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

### Example pages
- https://www.cdc.gov/nchs/nvss/vsrr/mortality-dashboard.htm
- https://www.cdc.gov/stophivtogether/hiv-testing/self-testing.html?s_cid=so_togetherconsumertk0295
- https://www.cdc.gov/contraception/hcp/usmec/intrauterine-devices.html

---

## Certain ARIA roles must be contained by particular parents (WCAG 1.3.1)

**Bug ID:** `VS-50cfc386`  
**Pattern ID:** `VS-f6d344d5`  
**URL:** https://www.cdc.gov/contraception/hcp/usmec/intrauterine-devices.html  
**XPath / selector:** `.table-col[data-col="1"][role="cell"] > div[role="row"]`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** axe-core — `aria-required-parent` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-required-parent?application=axeAPI))  
**Severity:** Critical  
**Frequency:** 5 instances; 1 of 3333 pages affected
  
**History:** first seen 2026-W29, last seen 2026-W29 (1 week)

### HTML snippet
```html
<div role="row">U.S. MEC 1
</div>
```

### Description
Certain ARIA roles must be contained by particular parents. Detected by axe-core rule aria-required-parent on 1 of 3333 scanned pages (5 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/contraception/hcp/usmec/intrauterine-devices.html.
2. Locate the element: .table-col[data-col="1"][role="cell"] > div[role="row"]
3. Confirm the axe-core finding for rule aria-required-parent 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
- https://www.cdc.gov/contraception/hcp/usmec/intrauterine-devices.html

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

### Suggested fix
**How to fix:** Place this ARIA role inside its required parent role (e.g. an option must be inside a listbox).

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

---

## <ul> and <ol> must only directly contain <li>, <script> or <template> elements (WCAG 1.3.1)

**Bug ID:** `VS-19c2f8f6`  
**Pattern ID:** `VS-a0bdbdf6`  
**URL:** https://www.cdc.gov/mmwr/preview/mmwrhtml/00039349.htm  
**XPath / selector:** `ol[type="-"]:nth-child(22)`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** axe-core — `list` ([reference](https://dequeuniversity.com/rules/axe/4.12/list?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 47 instances; 39 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### HTML snippet
```html
<ol type="-">
```

### Description
<ul> and <ol> must only directly contain <li>, <script> or <template> elements. Detected by axe-core rule list on 39 of 3333 scanned pages (47 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/mmwr/preview/mmwrhtml/00039349.htm.
2. Locate the element: ol[type="-"]:nth-child(22)
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
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00039349.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00020374.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00017905.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00020061.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00038946.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00015994.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00024907.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00017329.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00001375.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00001225.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00016138.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00020479.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00017708.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00019810.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00000298.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00015708.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00016266.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00016123.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00048610.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00016495.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5402a1.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00020736.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00017761.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00000298.htm
- https://www.cdc.gov/fluview/surveillance/2026-week-06.html

…and more — 39 pages total ([download CSV](csv/axe-core__list.csv)).

### 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

### Example pages
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00039349.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00020374.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00017905.htm

---

## Table cell headers attributes must refer to other <th> elements in the same tabl (WCAG 1.3.1)

**Bug ID:** `VS-9c57c426`  
**Pattern ID:** `VS-07ba3b17`  
**URL:** https://www.cdc.gov/immigrant-refugee-health/hcp/panel-physicians/vaccination.html  
**XPath / selector:** `.table-responsive-md:nth-child(1) > div > table`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** axe-core — `td-headers-attr` ([reference](https://dequeuniversity.com/rules/axe/4.12/td-headers-attr?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 20 instances; 5 of 3333 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W29 (5 weeks)

### HTML snippet
```html
<table class="table opt-in table-bordered table-striped text-center" style="width: 100%;">
```

### Description
Table cell headers attributes must refer to other <th> elements in the same tabl. Detected by axe-core rule td-headers-attr on 5 of 3333 scanned pages (20 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/immigrant-refugee-health/hcp/panel-physicians/vaccination.html.
2. Locate the element: .table-responsive-md:nth-child(1) > div > table
3. Confirm the axe-core finding for rule td-headers-attr 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
- https://www.cdc.gov/immigrant-refugee-health/hcp/panel-physicians/vaccination.html
- https://www.cdc.gov/vaccines/hcp/imz-schedules/child-adolescent-age.html?CDC_AAref_Val=https%3A%2F%2Fwww.cdc.gov%2Fvaccines%2Fschedules%2Fhcp%2Fimz%2Fchild-adolescent.html
- https://www.cdc.gov/vaccines/hcp/imz-schedules/adult-age-compliant.html
- https://www.cdc.gov/vaccines/imz-schedules/adolescent-easyread.html
- https://www.cdc.gov/acip/grade/influenza-older-adults.html

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

### Suggested fix
**How to fix:** Associate data cells with their headers correctly using headers/id or scope.

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

### Example pages
- https://www.cdc.gov/immigrant-refugee-health/hcp/panel-physicians/vaccination.html
- https://www.cdc.gov/vaccines/hcp/imz-schedules/child-adolescent-age.html?CDC_AAref_Val=https%3A%2F%2Fwww.cdc.gov%2Fvaccines%2Fschedules%2Fhcp%2Fimz%2Fchild-adolescent.html
- https://www.cdc.gov/vaccines/hcp/imz-schedules/adult-age-compliant.html

---

## <li> elements must be contained in a <ul> or <ol> (WCAG 1.3.1)

**Bug ID:** `VS-b80c991e`  
**Pattern ID:** `VS-6175596b`  
**URL:** https://www.cdc.gov/clean-hands/hcp/clinical-safety  
**XPath / selector:** `.table-col[data-col="2"][role="cell"] > li:nth-child(1)`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** axe-core — `listitem` ([reference](https://dequeuniversity.com/rules/axe/4.12/listitem?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 137 instances; 3 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### HTML snippet
```html
<li>Not
     release its contents except when the dispenser is activated, either
     manually or automatically by touch-free activation.</li>
```

### Description
<li> elements must be contained in a <ul> or <ol>. Detected by axe-core rule listitem on 3 of 3333 scanned pages (137 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/clean-hands/hcp/clinical-safety.
2. Locate the element: .table-col[data-col="2"][role="cell"] > li:nth-child(1)
3. Confirm the axe-core finding for rule listitem 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
- https://www.cdc.gov/clean-hands/hcp/clinical-safety
- https://www.cdc.gov/physical-activity-basics/about/index.html
- https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5402a1.htm

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

### Suggested fix
**How to fix:** <li> must be inside a <ul> or <ol>.

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

### Example pages
- https://www.cdc.gov/clean-hands/hcp/clinical-safety
- https://www.cdc.gov/physical-activity-basics/about/index.html
- https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5402a1.htm

---

## Presentational children of an element are not focusable (WCAG 1.3.1)

**Bug ID:** `VS-0bbaaedd`  
**Pattern ID:** `VS-d6097011`  
**URL:** https://www.cdc.gov/clean-hands/hcp/clinical-safety  
**XPath / selector:** `<ul>`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** Siteimprove Alfa — `sia-r68` ([reference](https://alfa.siteimprove.com/rules/sia-r68))  
**Severity:** Moderate  
**Frequency:** 2213 instances; 184 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### Description
Presentational children of an element are not focusable. Detected by Siteimprove Alfa rule sia-r68 on 184 of 3333 scanned pages (2213 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/clean-hands/hcp/clinical-safety.
2. Locate the element: <ul>
3. Confirm the Siteimprove Alfa finding for rule sia-r68 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
- https://www.cdc.gov/clean-hands/hcp/clinical-safety
- https://www.cdc.gov/listeria/outbreaks/meat-and-poultry-products-11-24/index.html
- https://www.cdc.gov/high-blood-pressure/risk-factors/index.html
- https://www.cdc.gov/mold-health/communication-resources/shopping-list-for-cleaning-mold.html
- https://www.cdc.gov/hearing-loss-children/es/screening/pruebas-de-deteccion-de-perdida-auditiva.html
- https://www.cdc.gov/niosh/centers/maritime.html
- https://www.cdc.gov/hepatitis/about/index.html
- https://www.cdc.gov/diabetes/awareness-campaigns/prediabetes-awareness-campaign.html
- https://www.cdc.gov/advanced-molecular-detection/php/investments/hawaii.html
- https://www.cdc.gov/parasites/caring/index.html
- https://www.cdc.gov/q-fever/bioterrorism/index.html
- https://www.cdc.gov/mmwr/indss_2008.html
- https://www.cdc.gov/hand-foot-mouth/about/index.html
- https://www.cdc.gov/niosh/cleaning-custodial-services/about/index.html
- https://www.cdc.gov/grants/applying/find-nofo.html
- http://www.cdc.gov/tobacco/about-data/surveys/index.html
- https://www.cdc.gov/healthy-swimming/php/toolkit/inspection-toolkit-using-your-data.html
- https://www.cdc.gov/advanced-molecular-detection/php/investments/north-carolina.html
- https://www.cdc.gov/diabetes/es/diabetes-complications/recuperacion-despues-de-la-amputacion.html
- https://www.cdc.gov/chickenpox/vaccines/index.html
- https://www.cdc.gov/lupus/funded/lupus-studies.htm
- https://www.cdc.gov/global-health/impact/avian-influenza-ecuador.html
- https://www.cdc.gov/fluoridation/statistics/2018stats.htm
- https://www.cdc.gov/environmental-exposure-report/whats-new/whats-new-archives.html
- https://www.cdc.gov/niosh/divisions-offices/respiratory-health.html

…and more — 184 pages total ([download CSV](csv/alfa__sia-r68.csv)).

### 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-r68

### Example pages
- https://www.cdc.gov/clean-hands/hcp/clinical-safety
- https://www.cdc.gov/listeria/outbreaks/meat-and-poultry-products-11-24/index.html
- https://www.cdc.gov/high-blood-pressure/risk-factors/index.html

---

## Element has required owned roles (WCAG 1.3.1)

**Bug ID:** `VS-e479ee30`  
**Pattern ID:** `VS-3c632d31`  
**URL:** https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5544a4.htm  
**XPath / selector:** `<h3>`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** Siteimprove Alfa — `sia-r64` ([reference](https://alfa.siteimprove.com/rules/sia-r64))  
**Severity:** Moderate  
**Frequency:** 14 instances; 14 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### Description
Element has required owned roles. Detected by Siteimprove Alfa rule sia-r64 on 14 of 3333 scanned pages (14 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5544a4.htm.
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
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5544a4.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5126a1.htm
- https://www.cdc.gov/mmwr/volumes/74/wr/mm7401a1.htm
- https://www.cdc.gov/nchs/nsfg/key_statistics/L.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5538a3.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5515a6.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5402a1.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5610a6.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5716a6.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5327a2.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5516a1.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5640a1.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5640a5.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5701a1.htm

### 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

### Example pages
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5544a4.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5126a1.htm
- https://www.cdc.gov/mmwr/volumes/74/wr/mm7401a1.htm

---

## Table cell has header (WCAG 1.3.1)

**Bug ID:** `VS-30b87464`  
**Pattern ID:** `VS-3f067795`  
**URL:** http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6019md.htm?s_cid=mm6019md_w  
**XPath / selector:** `<td scope="row" class="infrequent-end-table-title" colspan="16">`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** Siteimprove Alfa — `sia-r77` ([reference](https://alfa.siteimprove.com/rules/sia-r77))  
**Severity:** Moderate  
**Frequency:** 18612 instances; 12 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### Description
Table cell has header. Detected by Siteimprove Alfa rule sia-r77 on 12 of 3333 scanned pages (18612 instances).

### Steps to reproduce
1. Open http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6019md.htm?s_cid=mm6019md_w.
2. Locate the element: <td scope="row" class="infrequent-end-table-title" colspan="16">
3. Confirm the Siteimprove Alfa finding for rule sia-r77 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
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6019md.htm?s_cid=mm6019md_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6013md.htm?s_cid=mm6013md_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6008md.htm?s_cid=mm6008md_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5903a3.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6015md.htm?s_cid=mm6015md_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6038md.htm?s_cid=mm6038md_w
- https://www.cdc.gov/fluview/surveillance/2026-week-06.html
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6052md.htm?s_cid=mm6052md_w
- http://www.cdc.gov/hepatitis/php/surveillance-guidance/general-surveillance.html
- http://www.cdc.gov/covid/hcp/clinical-care/overview-testing-sars-cov-2.html
- https://www.cdc.gov/brfss/questionnaires/modules/state2016.htm
- https://www.cdc.gov/fluview/surveillance/2026-week-04.html

### 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-r77

### Example pages
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6019md.htm?s_cid=mm6019md_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6013md.htm?s_cid=mm6013md_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6008md.htm?s_cid=mm6008md_w

---

## Element has required aria-owns (WCAG 1.3.1)

**Bug ID:** `VS-6e4bf7f1`  
**Pattern ID:** `VS-4408605e`  
**URL:** https://www.cdc.gov/hepatitis-surveillance-2021/hepatitis-b/table-2-7.html  
**XPath / selector:** `<th class="sorting" tabindex="0" aria-controls="DataTables_Table_0" rowspan="1">`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** Siteimprove Alfa — `sia-r46` ([reference](https://alfa.siteimprove.com/rules/sia-r46))  
**Severity:** Moderate  
**Frequency:** 39 instances; 10 of 3333 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W29 (5 weeks)

### Description
Element has required aria-owns. Detected by Siteimprove Alfa rule sia-r46 on 10 of 3333 scanned pages (39 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/hepatitis-surveillance-2021/hepatitis-b/table-2-7.html.
2. Locate the element: <th class="sorting" tabindex="0" aria-controls="DataTables_Table_0" rowspan="1">
3. Confirm the Siteimprove Alfa finding for rule sia-r46 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
- https://www.cdc.gov/hepatitis-surveillance-2021/hepatitis-b/table-2-7.html
- https://www.cdc.gov/foodnet/reports/preliminary-data.html
- https://www.cdc.gov/vaccines/hcp/imz-schedules/child-adolescent-age.html?CDC_AAref_Val=https%3A%2F%2Fwww.cdc.gov%2Fvaccines%2Fschedules%2Fhcp%2Fimz%2Fchild-adolescent.html
- https://www.cdc.gov/pcd/issues/2020/20_0340.htm
- https://www.cdc.gov/infant-toddler-nutrition/formula-feeding/preparation-and-storage.html
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5903a3.htm
- https://www.cdc.gov/water-emergency/es/about/how-to-disinfect-wells-after-an-emergency.html
- https://www.cdc.gov/cfa-modeling-and-forecasting/mpox-gbmsm-technical-brief/nov24-update/index.html
- http://www.cdc.gov/hepatitis/php/surveillance-guidance/general-surveillance.html
- https://www.cdc.gov/mmwr/preview/mmwrhtml/ss5807a1.htm

### 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-r46

### Example pages
- https://www.cdc.gov/hepatitis-surveillance-2021/hepatitis-b/table-2-7.html
- https://www.cdc.gov/foodnet/reports/preliminary-data.html
- https://www.cdc.gov/vaccines/hcp/imz-schedules/child-adolescent-age.html?CDC_AAref_Val=https%3A%2F%2Fwww.cdc.gov%2Fvaccines%2Fschedules%2Fhcp%2Fimz%2Fchild-adolescent.html

---

## aria-hidden element is not exposed to assistive technology (WCAG 1.3.1)

**Bug ID:** `VS-8f81d253`  
**Pattern ID:** `VS-9207ed51`  
**URL:** https://www.cdc.gov/vaccines/hcp/imz-schedules/child-adolescent-age.html?CDC_AAref_Val=https%3A%2F%2Fwww.cdc.gov%2Fvaccines%2Fschedules%2Fhcp%2Fimz%2Fchild-adolescent.html  
**XPath / selector:** `@headers="mening-b yrs7"`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** Siteimprove Alfa — `sia-r45` ([reference](https://alfa.siteimprove.com/rules/sia-r45))  
**Severity:** Moderate  
**Frequency:** 6 instances; 1 of 3333 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W29 (5 weeks)

### Description
aria-hidden element is not exposed to assistive technology. Detected by Siteimprove Alfa rule sia-r45 on 1 of 3333 scanned pages (6 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/vaccines/hcp/imz-schedules/child-adolescent-age.html?CDC_AAref_Val=https%3A%2F%2Fwww.cdc.gov%2Fvaccines%2Fschedules%2Fhcp%2Fimz%2Fchild-adolescent.html.
2. Locate the element: @headers="mening-b yrs7"
3. Confirm the Siteimprove Alfa finding for rule sia-r45 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
- https://www.cdc.gov/vaccines/hcp/imz-schedules/child-adolescent-age.html?CDC_AAref_Val=https%3A%2F%2Fwww.cdc.gov%2Fvaccines%2Fschedules%2Fhcp%2Fimz%2Fchild-adolescent.html

### 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-r45

---

## Info and Relationships (WCAG 1.3.1)

**Bug ID:** `VS-2a860201`  
**Pattern ID:** `VS-33b49e3b`  
**URL:** https://www.cdc.gov/fungal/hcp/laboratories/afst-of-yeasts-by-gradient-diffusion.html  
**XPath / selector:** `<th rowspan="11">`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** Siteimprove Alfa — `sia-r76` ([reference](https://alfa.siteimprove.com/rules/sia-r76))  
**Severity:** Moderate  
**Frequency:** 1 instances; 1 of 3333 pages affected
  
**History:** first seen 2026-W26, last seen 2026-W29 (4 weeks)

### Description
Info and Relationships. Detected by Siteimprove Alfa rule sia-r76 on 1 of 3333 scanned pages (1 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/fungal/hcp/laboratories/afst-of-yeasts-by-gradient-diffusion.html.
2. Locate the element: <th rowspan="11">
3. Confirm the Siteimprove Alfa finding for rule sia-r76 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
- https://www.cdc.gov/fungal/hcp/laboratories/afst-of-yeasts-by-gradient-diffusion.html

### 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-r76

---

## Element in required WAI-ARIA context role (WCAG 1.3.1)

**Bug ID:** `VS-b1450a0e`  
**Pattern ID:** `VS-0ddc2ac6`  
**URL:** https://www.cdc.gov/contraception/hcp/usmec/intrauterine-devices.html  
**XPath / selector:** `<div role="row">`  
**WCAG SC:** 1.3.1 — Info and Relationships (Level A)  
**Rule:** Siteimprove Alfa — `sia-r42` ([reference](https://alfa.siteimprove.com/rules/sia-r42))  
**Severity:** Moderate  
**Frequency:** 5 instances; 1 of 3333 pages affected
  
**History:** first seen 2026-W29, last seen 2026-W29 (1 week)

### Description
Element in required WAI-ARIA context role. Detected by Siteimprove Alfa rule sia-r42 on 1 of 3333 scanned pages (5 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/contraception/hcp/usmec/intrauterine-devices.html.
2. Locate the element: <div role="row">
3. Confirm the Siteimprove Alfa finding for rule sia-r42 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
- https://www.cdc.gov/contraception/hcp/usmec/intrauterine-devices.html

### 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-r42

---

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

**Bug ID:** `VS-97372806`  
**Pattern ID:** `VS-8ade3360`  
**URL:** https://www.cdc.gov/early-care-education/php/success-stories/licensing.html  
**XPath / selector:** `.all-pages`  
**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:** 70 instances; 63 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### HTML snippet
```html
<a class="all-pages" href="#toc">All pages <span class="cdc-fa-arrow-down-long"></span></a>
```

### Description
Links must be distinguishable without relying on color. Detected by axe-core rule link-in-text-block on 63 of 3333 scanned pages (70 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/early-care-education/php/success-stories/licensing.html.
2. Locate the element: .all-pages
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://www.cdc.gov/early-care-education/php/success-stories/licensing.html
- http://www.cdc.gov/hepatitis/php/npr-2024/overview.html
- https://www.cdc.gov/suicide/playbook/step-5.html
- https://www.cdc.gov/niosh/school-safety/program/supplements.html
- https://www.cdc.gov/grants/welcome-packet/noa-administrative-regulations.html
- https://www.cdc.gov/healthcare-associated-infections/php/haic-eip/mugsi.html
- https://www.cdc.gov/grants/additional-requirements/ar-36.html
- https://www.cdc.gov/grants/applying/find-nofo.html
- https://www.cdc.gov/infection-control/hcp/training/strive.html
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6105a5.htm?s_cid=mm6105a5_w
- https://www.cdc.gov/hepatitis-surveillance-2023/hepatitis-c/table-3-3.html
- http://www.cdc.gov/malaria/diagnosis_treatment
- https://www.cdc.gov/hepatitis-surveillance-2021/hepatitis-b/table-2-7.html
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6105a3.htm
- http://www.cdc.gov/malaria/hcp/clinical-guidance/appendix-a-treatment-tables.html
- https://www.cdc.gov/hepatitis-surveillance-2021/hepatitis-b/table-2-2.html
- http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5908a1.htm
- https://www.cdc.gov/healthcare-associated-infections/hcp/cleaning-global/conclusion.html
- https://www.cdc.gov/infection-control/hcp/disinfection-sterilization/flash-sterilization.html
- https://www.cdc.gov/healthcare-associated-infections/php/prevention-epicenters/pennsylvania.html
- https://www.cdc.gov/infection-control/hcp/disinfection-and-sterilization/microbicidal-activity.html
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6004a4.htm?s_cid=mm6004a4_w
- http://www.cdc.gov/hepatitis/php/npr-2024/hep-b-reduce-deaths-api.html
- https://www.cdc.gov/infection-control/hcp/basics/transmission-based-precautions.html
- https://www.cdc.gov/infection-control/hcp/disinfection-and-sterilization/advantages-disadvantages.html

…and more — 63 pages total ([download CSV](csv/axe-core__link-in-text-block.csv)).

### 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://www.cdc.gov/early-care-education/php/success-stories/licensing.html
- http://www.cdc.gov/hepatitis/php/npr-2024/overview.html
- https://www.cdc.gov/suicide/playbook/step-5.html

---

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

**Bug ID:** `VS-500e5440`  
**Pattern ID:** `VS-efd91fdd`  
**URL:** http://www.cdc.gov/tobacco/campaign/tips/partners/hud/index.html  
**XPath / selector:** `<a href="#three">`  
**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:** 43 instances; 6 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### Description
Link in text block is visually distinguishable without color. Detected by Siteimprove Alfa rule sia-r62 on 6 of 3333 scanned pages (43 instances).

### Steps to reproduce
1. Open http://www.cdc.gov/tobacco/campaign/tips/partners/hud/index.html.
2. Locate the element: <a href="#three">
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
- http://www.cdc.gov/tobacco/campaign/tips/partners/hud/index.html
- http://www.cdc.gov/tobacco/campaign/tips/spanish/enfermedades/tabaquismo-diabetes.html
- http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5908a1.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6004a4.htm?s_cid=mm6004a4_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5930a4.htm?s_cid=mm5930a4_w
- http://www.cdc.gov/tobacco/campaign/tips/spanish/enfermedades/tabaquismo-enfermedad-pulmonar-obstructiva-cronica.html

### 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
- http://www.cdc.gov/tobacco/campaign/tips/partners/hud/index.html
- http://www.cdc.gov/tobacco/campaign/tips/spanish/enfermedades/tabaquismo-diabetes.html
- http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5908a1.htm

---

## Scrollable region must have keyboard access (WCAG 2.1.1)

**Bug ID:** `VS-fc504a01`  
**Pattern ID:** `VS-c613c153`  
**URL:** https://www.cdc.gov/mmwr/volumes/65/wr/mm6516a1.htm?s_cid=mm6516a1_w  
**XPath / selector:** `table`  
**WCAG SC:** 2.1.1 — Keyboard (Level A)  
**Rule:** axe-core — `scrollable-region-focusable` ([reference](https://dequeuniversity.com/rules/axe/4.12/scrollable-region-focusable?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 25 instances; 15 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### HTML snippet
```html
<table class="table table-bordered table-responsive opt-in">
```

### Description
Scrollable region must have keyboard access. Detected by axe-core rule scrollable-region-focusable on 15 of 3333 scanned pages (25 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/mmwr/volumes/65/wr/mm6516a1.htm?s_cid=mm6516a1_w.
2. Locate the element: table
3. Confirm the axe-core finding for rule scrollable-region-focusable against WCAG 2.1.1 Keyboard.

### Impact
Affects Without vision (1.0%), Limited manipulation/strength (13.0%), Limited reach (2.0%).
- **Without vision** (1.0% of population)
- **Limited manipulation/strength** (13.0% of population)
- **Limited reach** (2.0% of population)

### Affected pages
- https://www.cdc.gov/mmwr/volumes/65/wr/mm6516a1.htm?s_cid=mm6516a1_w
- https://www.cdc.gov/mmwr/volumes/65/wr/mm6530a3.htm?s_cid=mm6530a3_w
- https://www.cdc.gov/malaria/php/surveillance-report/2021.html
- https://www.cdc.gov/hepatitis-surveillance-2023/hepatitis-c/table-3-3.html
- https://www.cdc.gov/hepatitis-surveillance-2021/hepatitis-b/table-2-7.html
- https://www.cdc.gov/foodnet/reports/preliminary-data.html
- http://www.cdc.gov/nchs/nvss/vsrr/infant-mortality-dashboard.htm
- https://www.cdc.gov/infection-control/hcp/disinfection-and-sterilization/microbicidal-activity.html
- https://www.cdc.gov/mmwr/volumes/65/wr/mm6527a1.htm?s_cid=mm6527a1_w
- https://www.cdc.gov/bird-flu/php/monitoring-bird-flu/surveillance-novel-seasonal.html
- https://www.cdc.gov/cfa-modeling-and-forecasting/mpox-gbmsm-technical-brief/nov24-update/index.html
- https://www.cdc.gov/fluview/surveillance/2026-week-06.html
- https://www.cdc.gov/mmwr/volumes/66/wr/mm6643a3.htm
- https://www.cdc.gov/acip/grade/influenza-older-adults.html
- https://www.cdc.gov/fluview/surveillance/2026-week-04.html

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

### Suggested fix
**How to fix:** Make scrollable regions keyboard-focusable (tabindex="0") so keyboard users can scroll them.

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

### Example pages
- https://www.cdc.gov/mmwr/volumes/65/wr/mm6516a1.htm?s_cid=mm6516a1_w
- https://www.cdc.gov/mmwr/volumes/65/wr/mm6530a3.htm?s_cid=mm6530a3_w
- https://www.cdc.gov/malaria/php/surveillance-report/2021.html

---

## Keyboard (WCAG 2.1.1)

**Bug ID:** `VS-464dadb4`  
**Pattern ID:** `VS-58346bcf`  
**URL:** https://www.cdc.gov/fungal/hcp/laboratories/afst-of-yeasts-by-gradient-diffusion.html  
**XPath / selector:** `<table class="table table-bordered table-striped" style="width: 100%; height: 1128px;">`  
**WCAG SC:** 2.1.1 — Keyboard (Level A)  
**Rule:** Siteimprove Alfa — `sia-r84` ([reference](https://alfa.siteimprove.com/rules/sia-r84))  
**Severity:** Moderate  
**Frequency:** 2 instances; 2 of 3333 pages affected
  
**History:** first seen 2026-W28, last seen 2026-W29 (2 weeks)

### Description
Keyboard. Detected by Siteimprove Alfa rule sia-r84 on 2 of 3333 scanned pages (2 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/fungal/hcp/laboratories/afst-of-yeasts-by-gradient-diffusion.html.
2. Locate the element: <table class="table table-bordered table-striped" style="width: 100%; height: 1128px;">
3. Confirm the Siteimprove Alfa finding for rule sia-r84 against WCAG 2.1.1 Keyboard.

### Impact
Affects Without vision (1.0%), Limited manipulation/strength (13.0%), Limited reach (2.0%).
- **Without vision** (1.0% of population)
- **Limited manipulation/strength** (13.0% of population)
- **Limited reach** (2.0% of population)

### Affected pages
- https://www.cdc.gov/fungal/hcp/laboratories/afst-of-yeasts-by-gradient-diffusion.html
- https://www.cdc.gov/hepatitis-surveillance-2021/about/background.html

### 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-r84

### Example pages
- https://www.cdc.gov/fungal/hcp/laboratories/afst-of-yeasts-by-gradient-diffusion.html
- https://www.cdc.gov/hepatitis-surveillance-2021/about/background.html

---

## <blink> elements are deprecated and must not be used (WCAG 2.2.2)

**Bug ID:** `VS-441cf0f0`  
**Pattern ID:** `VS-4b45acfe`  
**URL:** https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5208a1.htm  
**XPath / selector:** `i > font[color="#FF0000"] > blink`  
**WCAG SC:** 2.2.2 — Pause, Stop, Hide (Level A)  
**Rule:** axe-core — `blink` ([reference](https://dequeuniversity.com/rules/axe/4.12/blink?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 5 instances; 4 of 3333 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W29 (5 weeks)

### HTML snippet
```html
<blink><big>Please note: </big>
</blink>
```

### Description
<blink> elements are deprecated and must not be used. Detected by axe-core rule blink on 4 of 3333 scanned pages (5 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5208a1.htm.
2. Locate the element: i > font[color="#FF0000"] > blink
3. Confirm the axe-core finding for rule blink against WCAG 2.2.2 Pause, Stop, Hide.

### Impact
Affects Limited vision (2.4%), Limited cognitive, language, or learning ability (11.0%).
- **Limited vision** (2.4% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### Affected pages
- https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5208a1.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5402a1.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5624a6.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5542a5.htm

### 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/blink?application=axeAPI

### Example pages
- https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5208a1.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5402a1.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5624a6.htm

---

## Documents must have <title> element to aid in navigation (WCAG 2.4.2)

**Bug ID:** `VS-bd37b500`  
**Pattern ID:** `VS-c80d5faa`  
**URL:** https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5906md.htm  
**XPath / selector:** `#js`  
**WCAG SC:** 2.4.2 — Page Titled (Level A)  
**Rule:** axe-core — `document-title` ([reference](https://dequeuniversity.com/rules/axe/4.12/document-title?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 3 instances; 3 of 3333 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W29 (3 weeks)

### HTML snippet
```html
<html xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en" id="js">
```

### Description
Documents must have <title> element to aid in navigation. Detected by axe-core rule document-title on 3 of 3333 scanned pages (3 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5906md.htm.
2. Locate the element: #js
3. Confirm the axe-core finding for rule document-title against WCAG 2.4.2 Page Titled.

### 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
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5906md.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5906a4.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5906a1.htm

### 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 the page a unique, descriptive <title>.

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

### Example pages
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5906md.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5906a4.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5906a1.htm

---

## Document has a title element (WCAG 2.4.2)

**Bug ID:** `VS-68951582`  
**Pattern ID:** `VS-0728f339`  
**URL:** https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5906md.htm  
**XPath / selector:** `{"type":"document","children":[{"type":"type","name":"html","publicId":"-//W3C//`  
**WCAG SC:** 2.4.2 — Page Titled (Level A)  
**Rule:** Siteimprove Alfa — `sia-r1` ([reference](https://alfa.siteimprove.com/rules/sia-r1))  
**Severity:** Moderate  
**Frequency:** 3 instances; 3 of 3333 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W29 (3 weeks)

### Description
Document has a title element. Detected by Siteimprove Alfa rule sia-r1 on 3 of 3333 scanned pages (3 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5906md.htm.
2. Locate the element: {"type":"document","children":[{"type":"type","name":"html","publicId":"-//W3C//
3. Confirm the Siteimprove Alfa finding for rule sia-r1 against WCAG 2.4.2 Page Titled.

### 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
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5906md.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5906a4.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5906a1.htm

### 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-r1

### Example pages
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5906md.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5906a4.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5906a1.htm

---

## Links must have discernible text (WCAG 2.4.4)

**Bug ID:** `VS-23239786`  
**Pattern ID:** `VS-e9fe47ac`  
**URL:** https://www.cdc.gov/pcd/issues/2009/jan/07_0240.htm  
**XPath / selector:** `table[cellpadding="0"]:nth-child(2) > tbody > tr > td[width="140"] > a[href$="cdc.gov/"]`  
**WCAG SC:** 2.4.4 — Link Purpose (In Context) (Level A)  
**Rule:** axe-core — `link-name` ([reference](https://dequeuniversity.com/rules/axe/4.12/link-name?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 431 instances; 196 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### HTML snippet
```html
<a href="http://www.cdc.gov/"><img src="http://www.cdc.gov/navimages/nav21.gif" border="0" alt=" " width="140" height="8"></a>
```

### Description
Links must have discernible text. Detected by axe-core rule link-name on 196 of 3333 scanned pages (431 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/pcd/issues/2009/jan/07_0240.htm.
2. Locate the element: table[cellpadding="0"]:nth-child(2) > tbody > tr > td[width="140"] > a[href$="cdc.gov/"]
3. Confirm the axe-core finding for rule link-name against WCAG 2.4.4 Link Purpose (In Context).

### 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
- https://www.cdc.gov/pcd/issues/2009/jan/07_0240.htm
- http://www.cdc.gov/pcd/issues/2009/jan/08_0009_fr.htm
- https://www.cdc.gov/pcd/issues/2008/jan/06_0144_zht.htm
- https://www.cdc.gov/pcd/issues/2005/nov/05_0076_zhs.htm
- http://www.cdc.gov/pcd/issues/2010/sep/10_0046.htm
- http://www.cdc.gov/pcd/issues/2011/nov/10_0194.htm
- https://www.cdc.gov/pcd/issues/2004/jan/03_00010a.htm
- https://www.cdc.gov/pcd/issues/2009/jan/07_0199_zhs.htm
- http://www.cdc.gov/nchs/nvss/vsrr/natality-dashboard.htm
- https://www.cdc.gov/pcd/es/2010_may_toc.htm
- https://www.cdc.gov/pcd/issues/2012/11_0277_es.htm
- https://www.cdc.gov/pcd/issues/2010/may/09_0123_es.htm
- http://www.cdc.gov/pcd/issues/2008/oct/07_0158_zht.htm
- https://www.cdc.gov/pcd/issues/2012/11_0295_es.htm
- http://www.cdc.gov/pcd/issues/2009/jan/08_0026_zhs.htm
- https://www.cdc.gov/pcd/issues/2006/jan/05_0121.htm
- http://www.cdc.gov/pcd/issues/2009/jan/07_0240_zhs.htm
- https://www.cdc.gov/pcd/issues/2009/jan/08_0029.htm
- https://www.cdc.gov/infant-toddler-nutrition/bottle-feeding/index.html
- https://www.cdc.gov/laboratory/specimen-submission/detail.html?CDCTestCode=CDC-10166
- https://www.cdc.gov/pcd/issues/2007/oct/07_0018_es.htm
- https://www.cdc.gov/pcd/issues/2007/oct/07_0074_es.htm
- https://www.cdc.gov/pcd/issues/2009/jan/07_0262_zhs.htm
- https://www.cdc.gov/environmental-health-tracking/php/data-research/pesticide-exposure.html
- https://www.cdc.gov/pcd/issues/2012/11_0100_es.htm

…and more — 196 pages total ([download CSV](csv/axe-core__link-name.csv)).

### 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 the link discernible text. Avoid empty links and icon-only links without an aria-label.

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

### Example pages
- https://www.cdc.gov/pcd/issues/2009/jan/07_0240.htm
- http://www.cdc.gov/pcd/issues/2009/jan/08_0009_fr.htm
- https://www.cdc.gov/pcd/issues/2008/jan/06_0144_zht.htm

---

## Link has accessible name (WCAG 2.4.4)

**Bug ID:** `VS-196b506f`  
**Pattern ID:** `VS-28ebd979`  
**URL:** https://www.cdc.gov/pcd/issues/2009/jan/07_0240.htm  
**XPath / selector:** `<a href="http://www.cdc.gov/">`  
**WCAG SC:** 2.4.4 — Link Purpose (In Context) (Level A)  
**Rule:** Siteimprove Alfa — `sia-r11` ([reference](https://alfa.siteimprove.com/rules/sia-r11))  
**Severity:** Moderate  
**Frequency:** 183 instances; 87 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### Description
Link has accessible name. Detected by Siteimprove Alfa rule sia-r11 on 87 of 3333 scanned pages (183 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/pcd/issues/2009/jan/07_0240.htm.
2. Locate the element: <a href="http://www.cdc.gov/">
3. Confirm the Siteimprove Alfa finding for rule sia-r11 against WCAG 2.4.4 Link Purpose (In Context).

### 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
- https://www.cdc.gov/pcd/issues/2009/jan/07_0240.htm
- http://www.cdc.gov/pcd/issues/2009/jan/08_0009_fr.htm
- http://www.cdc.gov/pcd/issues/2010/sep/10_0046.htm
- https://www.cdc.gov/pcd/issues/2009/jan/07_0199_zhs.htm
- https://www.cdc.gov/pcd/es/2010_may_toc.htm
- https://www.cdc.gov/pcd/issues/2012/11_0277_es.htm
- https://www.cdc.gov/pcd/issues/2010/may/09_0123_es.htm
- https://www.cdc.gov/pcd/issues/2012/11_0295_es.htm
- http://www.cdc.gov/pcd/issues/2009/jan/08_0026_zhs.htm
- https://www.cdc.gov/pcd/issues/2006/jan/05_0121.htm
- https://www.cdc.gov/laboratory/specimen-submission/detail.html?CDCTestCode=CDC-10166
- https://www.cdc.gov/pcd/issues/2007/oct/07_0018_es.htm
- https://www.cdc.gov/environmental-health-tracking/php/data-research/pesticide-exposure.html
- https://www.cdc.gov/pcd/issues/2012/11_0100_es.htm
- http://www.cdc.gov/pcd/issues/2008/oct/07_0167.htm
- http://www.cdc.gov/pcd/issues/2010/sep/10_0024.htm
- https://www.cdc.gov/pcd/issues/2009/apr/08_0200_es.htm
- https://www.cdc.gov/pcd/issues/2009/jan/07_0276_fr.htm
- http://www.cdc.gov/pcd/issues/2005/nov/05_0072.htm
- http://www.cdc.gov/pcd/issues/2009/jan/07_0276_fr.htm
- https://www.cdc.gov/pcd/issues/2008/jan/06_0165_fr.htm
- https://www.cdc.gov/nutrition/InfantandToddlerNutrition/breastfeeding/index.html
- https://www.cdc.gov/pcd/issues/2008/jan/07_0036.htm
- https://www.cdc.gov/niosh/silica
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm4838a3.htm

…and more — 87 pages total ([download CSV](csv/alfa__sia-r11.csv)).

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

### Suggested fix
**How to fix:** Give the link an accessible name via text content or aria-label.

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r11

### Example pages
- https://www.cdc.gov/pcd/issues/2009/jan/07_0240.htm
- http://www.cdc.gov/pcd/issues/2009/jan/08_0009_fr.htm
- http://www.cdc.gov/pcd/issues/2010/sep/10_0046.htm

---

## <html> element must have a lang attribute (WCAG 3.1.1)

**Bug ID:** `VS-cd3314a7`  
**Pattern ID:** `VS-c126b6a6`  
**URL:** https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5510a3.htm  
**XPath / selector:** `html`  
**WCAG SC:** 3.1.1 — Language of Page (Level A)  
**Rule:** axe-core — `html-has-lang` ([reference](https://dequeuniversity.com/rules/axe/4.12/html-has-lang?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 595 instances; 595 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### HTML snippet
```html
<html>
```

### Description
<html> element must have a lang attribute. Detected by axe-core rule html-has-lang on 595 of 3333 scanned pages (595 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5510a3.htm.
2. Locate the element: html
3. Confirm the axe-core finding for rule html-has-lang against WCAG 3.1.1 Language of Page.

### Impact
Affects Without vision (1.0%), Limited cognitive, language, or learning ability (11.0%).
- **Without vision** (1.0% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### Affected pages
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5510a3.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00039349.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00056485.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00045578.htm
- https://www.cdc.gov/pcd/issues/2009/jan/07_0240.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm4937a6.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00020374.htm
- http://www.cdc.gov/pcd/issues/2009/jan/08_0009_fr.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm4913a3.htm
- https://www.cdc.gov/pcd/issues/2008/jan/06_0144_zht.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5528a9.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00001287.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5708md.htm
- https://www.cdc.gov/pcd/issues/2005/nov/05_0076_zhs.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00017905.htm
- http://www.cdc.gov/pcd/issues/2010/sep/10_0046.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00031512.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00001186.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/su5502a2.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00045972.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00016673.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00000621.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5644a6.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00000258.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5521a3.htm

…and more — 595 pages total ([download CSV](csv/axe-core__html-has-lang.csv)).

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

### Suggested fix
**How to fix:** Add a lang attribute to <html> (e.g. lang="en").

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/html-has-lang?application=axeAPI

### Example pages
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5510a3.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00039349.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00056485.htm

---

## Document has a valid lang attribute (WCAG 3.1.1)

**Bug ID:** `VS-9339d337`  
**Pattern ID:** `VS-7a0e5645`  
**URL:** https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5510a3.htm  
**XPath / selector:** `<html>`  
**WCAG SC:** 3.1.1 — Language of Page (Level A)  
**Rule:** Siteimprove Alfa — `sia-r4` ([reference](https://alfa.siteimprove.com/rules/sia-r4))  
**Severity:** Moderate  
**Frequency:** 281 instances; 281 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### Description
Document has a valid lang attribute. Detected by Siteimprove Alfa rule sia-r4 on 281 of 3333 scanned pages (281 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5510a3.htm.
2. Locate the element: <html>
3. Confirm the Siteimprove Alfa finding for rule sia-r4 against WCAG 3.1.1 Language of Page.

### Impact
Affects Without vision (1.0%), Limited cognitive, language, or learning ability (11.0%).
- **Without vision** (1.0% of population)
- **Limited cognitive, language, or learning ability** (11.0% of population)

### Affected pages
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5510a3.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00039349.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00056485.htm
- https://www.cdc.gov/pcd/issues/2009/jan/07_0240.htm
- http://www.cdc.gov/pcd/issues/2009/jan/08_0009_fr.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00001287.htm
- http://www.cdc.gov/pcd/issues/2010/sep/10_0046.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/su5502a2.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00045972.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00016673.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00000621.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5644a6.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00000258.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5521a3.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/ss4907a1.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00031321.htm
- https://www.cdc.gov/pcd/issues/2009/jan/07_0199_zhs.htm
- https://www.cdc.gov/pcd/es/2010_may_toc.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00020061.htm
- https://www.cdc.gov/pcd/issues/2010/may/09_0123_es.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm4824a2.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00000569.htm
- http://www.cdc.gov/pcd/issues/2009/jan/08_0026_zhs.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5744md.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm4951a1.htm

…and more — 281 pages total ([download CSV](csv/alfa__sia-r4.csv)).

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

### Suggested fix
**How to fix:** Add a valid lang attribute to <html>.

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r4

### Example pages
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5510a3.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00039349.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00056485.htm

---

## Form elements must have labels (WCAG 4.1.2)

**Bug ID:** `VS-0dd050a3`  
**Pattern ID:** `VS-fafffee0`  
**URL:** http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6027a1.htm?s_cid=mm6027a1_w  
**XPath / selector:** `#searchBox`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** axe-core — `label` ([reference](https://dequeuniversity.com/rules/axe/4.12/label?application=axeAPI))  
**Severity:** Critical  
**Frequency:** 190 instances; 185 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### HTML snippet
```html
<input id="searchBox" class="searchBox" name="query" maxlength="256" type="text" style="width: 230px;">
```

### Description
Form elements must have labels. Detected by axe-core rule label on 185 of 3333 scanned pages (190 instances).

### Steps to reproduce
1. Open http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6027a1.htm?s_cid=mm6027a1_w.
2. Locate the element: #searchBox
3. Confirm the axe-core finding for rule label 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
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6027a1.htm?s_cid=mm6027a1_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5936a6.htm?s_cid=mm5936a6_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6006a6.htm?s_cid=mm6006a6_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6417a5.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6005a5.htm?s_cid=mm6005a5_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6142a1.htm?s_cid=mm6142a1_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6019md.htm?s_cid=mm6019md_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6013md.htm?s_cid=mm6013md_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6004a9.htm?s_cid=mm6004a9_w
- https://www.cdc.gov/mmwr/preview/index82.html
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6007a2.htm?s_cid=mm6007a2_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6145a1.htm?s_cid=mm6145a1_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6041a2.htm?s_cid=mm6041a2_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6317a2.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5919a6.htm
- https://www.cdc.gov/mmwr/indss_2008.html
- https://www.cdc.gov/mmwr/preview/mmwrhtml/su6004a9.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6029a4.htm?s_cid=mm6029a4_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5950a5.htm?s_cid=mm5950a5_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6007a1.htm?s_cid=mm6007a1_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5906md.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/ss6108a1.htm?s_cid=ss6108a1_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6047a6.htm?s_cid=mm6047a6_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6119a2.htm?s_cid=mm6119a2_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5925a1.htm?s_cid=mm5925a1_w

…and more — 185 pages total ([download CSV](csv/axe-core__label.csv)).

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

### Suggested fix
**How to fix:** Associate every form control with a <label> (via for/id) or an aria-label/aria-labelledby.

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

### Example pages
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6027a1.htm?s_cid=mm6027a1_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5936a6.htm?s_cid=mm5936a6_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6006a6.htm?s_cid=mm6006a6_w

---

## Select element must have an accessible name (WCAG 4.1.2)

**Bug ID:** `VS-d084ed5c`  
**Pattern ID:** `VS-fab92378`  
**URL:** https://www.cdc.gov/nchs/hus/contents2019.htm?search=%2CState  
**XPath / selector:** `#year_group`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** axe-core — `select-name` ([reference](https://dequeuniversity.com/rules/axe/4.12/select-name?application=axeAPI))  
**Severity:** Critical  
**Frequency:** 26 instances; 8 of 3333 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W29 (5 weeks)

### HTML snippet
```html
<select id="year_group" class="filter_dropdowns" style="width:100%">
```

### Description
Select element must have an accessible name. Detected by axe-core rule select-name on 8 of 3333 scanned pages (26 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/nchs/hus/contents2019.htm?search=%2CState.
2. Locate the element: #year_group
3. Confirm the axe-core finding for rule select-name 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.cdc.gov/nchs/hus/contents2019.htm?search=%2CState
- https://www.cdc.gov/nchs/hus/data-finder.htm?population=Infants
- https://www.cdc.gov/tobacco/campaign/tips/spanish/dejar-fumar/medicamentos/como-usar-medicamentos/vareniclina.html
- https://www.cdc.gov/nchs/hus/data-finder.htm?population=Asian
- https://www.cdc.gov/tobacco/campaign/tips/quit-smoking/quit-smoking-medications/how-to-use-quit-smoking-medicines/how-to-use-nicotine-nasal-spray.html
- https://www.cdc.gov/overdose-prevention/data-research/facts-stats/dose-sys-accessible.html
- https://www.cdc.gov/nchs/hus/data-finder.htm?population=American+Indian+or+Alaska+Native
- https://www.cdc.gov/nchs/pressroom/calendar/2025_schedule.htm

### 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 the <select> an accessible name via a <label> or aria-label.

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

### Example pages
- https://www.cdc.gov/nchs/hus/contents2019.htm?search=%2CState
- https://www.cdc.gov/nchs/hus/data-finder.htm?population=Infants
- https://www.cdc.gov/tobacco/campaign/tips/spanish/dejar-fumar/medicamentos/como-usar-medicamentos/vareniclina.html

---

## Buttons must have discernible text (WCAG 4.1.2)

**Bug ID:** `VS-e00ab755`  
**Pattern ID:** `VS-e7298c00`  
**URL:** https://www.cdc.gov/lead-prevention/communication-resources/index.html  
**XPath / selector:** `button[aria-controls="accordion-panel-FfdOkDOG90"]`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** axe-core — `button-name` ([reference](https://dequeuniversity.com/rules/axe/4.12/button-name?application=axeAPI))  
**Severity:** Critical  
**Frequency:** 2 instances; 2 of 3333 pages affected
  
**History:** first seen 2026-W26, last seen 2026-W29 (3 weeks)

### HTML snippet
```html
<button aria-controls="accordion-panel-FfdOkDOG90" aria-expanded="false" class="accordion-button collapsed" data-bs-target="#accordion-panel-FfdOkDOG90" data-bs-toggle="collapse" type="button">
						
```

### Description
Buttons must have discernible text. Detected by axe-core rule button-name on 2 of 3333 scanned pages (2 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/lead-prevention/communication-resources/index.html.
2. Locate the element: button[aria-controls="accordion-panel-FfdOkDOG90"]
3. Confirm the axe-core finding for rule button-name 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.cdc.gov/lead-prevention/communication-resources/index.html
- http://www.cdc.gov/hiv/prevention/condoms.html

### 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 the button an accessible name via its text content, aria-label, or aria-labelledby.

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

### Example pages
- https://www.cdc.gov/lead-prevention/communication-resources/index.html
- http://www.cdc.gov/hiv/prevention/condoms.html

---

## ARIA attributes must conform to valid values (WCAG 4.1.2)

**Bug ID:** `VS-0d3443de`  
**Pattern ID:** `VS-af36d20c`  
**URL:** http://www.cdc.gov/nchs/nvss/vsrr/infant-mortality-dashboard.htm  
**XPath / selector:** `#TOPIC-AGE`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** axe-core — `aria-valid-attr-value` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-valid-attr-value?application=axeAPI))  
**Severity:** Critical  
**Frequency:** 2 instances; 1 of 3333 pages affected
  
**History:** first seen 2026-W29, last seen 2026-W29 (1 week)

### HTML snippet
```html
<input id="TOPIC-AGE" type="radio" name="TOPIC" value="Rates by Age" checked="" onclick="updateIndicators();" aria-controls="groups">
```

### Description
ARIA attributes must conform to valid values. Detected by axe-core rule aria-valid-attr-value on 1 of 3333 scanned pages (2 instances).

### Steps to reproduce
1. Open http://www.cdc.gov/nchs/nvss/vsrr/infant-mortality-dashboard.htm.
2. Locate the element: #TOPIC-AGE
3. Confirm the axe-core finding for rule aria-valid-attr-value 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
- http://www.cdc.gov/nchs/nvss/vsrr/infant-mortality-dashboard.htm

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

### Suggested fix
**How to fix:** Fix the ARIA attribute value — it must reference a real id or use an allowed value.

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

---

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

**Bug ID:** `VS-9b15bf6f`  
**Pattern ID:** `VS-1467ea8a`  
**URL:** https://www.cdc.gov/nchs/nvss/vsrr/mortality-dashboard.htm  
**XPath / selector:** `#ageControl`  
**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:** 3 instances; 1 of 3333 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W29 (3 weeks)

### HTML snippet
```html
<label for="age" id="ageControl" class="hanging-indent" aria-label="age filter radio button" aria-haspopup="true" aria-controls="ageChecks" aria-expanded="false"><input id="age" type="radio" name="ind
```

### Description
Elements must only use supported ARIA attributes. Detected by axe-core rule aria-allowed-attr on 1 of 3333 scanned pages (3 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/nchs/nvss/vsrr/mortality-dashboard.htm.
2. Locate the element: #ageControl
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.cdc.gov/nchs/nvss/vsrr/mortality-dashboard.htm

### 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

---

## Frames must have an accessible name (WCAG 4.1.2)

**Bug ID:** `VS-3800ad23`  
**Pattern ID:** `VS-3f76c7ea`  
**URL:** https://www.cdc.gov/parenting-teens/tips-coaching-emotions/index.html  
**XPath / selector:** `iframe`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** axe-core — `frame-title` ([reference](https://dequeuniversity.com/rules/axe/4.12/frame-title?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 30 instances; 22 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### HTML snippet
```html
<iframe src="//www.youtube-nocookie.com/embed/zs6RqUIuEVU?autohide=0&enablejsapi=1&modestbranding=1&rel=0&origin=https://www.cdc.gov?autohide=0&enablejsapi=1&modestbranding=1&rel=0&origin=https://www.
```

### Description
Frames must have an accessible name. Detected by axe-core rule frame-title on 22 of 3333 scanned pages (30 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/parenting-teens/tips-coaching-emotions/index.html.
2. Locate the element: iframe
3. Confirm the axe-core finding for rule frame-title 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.cdc.gov/parenting-teens/tips-coaching-emotions/index.html
- https://www.cdc.gov/cancer-survivors/patients/blood-clots.html
- https://www.cdc.gov/tb/hcp/mantoux/video.html
- https://www.cdc.gov/advanced-molecular-detection/php/training/module-3-5.html
- https://www.cdc.gov/vaccines/resources/video-getting-vaccinated-during-pregnancy.html
- https://www.cdc.gov/niosh/stress
- https://www.cdc.gov/long-term-care-facilities/hcp/prevent-mdro/PPE.html
- https://www.cdc.gov/hearher/hcp/overview
- https://www.cdc.gov/uterine-cancer/symptoms/index.html
- https://www.cdc.gov/folic-acid/es/php/toolkit_hispanic/ready-not-ready.html
- https://www.cdc.gov/bring-your-brave/stories/lisa.html
- https://www.cdc.gov/prostate-cancer/es/screening/get-screened.html
- https://www.cdc.gov/folic-acid/es/php/toolkit_hispanic/children-of-the-future.html
- https://www.cdc.gov/advanced-molecular-detection/php/training/module-3-6.html
- https://www.cdc.gov/stophivtogether/hiv-testing/self-testing.html?s_cid=so_togetherconsumertk0295
- https://www.cdc.gov/tobacco-surgeon-general-reports/reports/2020-smoking-cessation/index.html
- https://www.cdc.gov/mosquitoes/php/toolkit/mosquito-surveillance-traps.html
- https://www.cdc.gov/ncird/careers/index.html
- http://www.cdc.gov/yrbs/about/index.html
- https://www.cdc.gov/diabetes/diabetes-tv/index.html
- https://www.cdc.gov/advanced-molecular-detection/php/training/module-2-7.html
- https://www.cdc.gov/bird-flu/video-series/h5n1-learn-prevent.html

### 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 <iframe> a descriptive title attribute.

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

### Example pages
- https://www.cdc.gov/parenting-teens/tips-coaching-emotions/index.html
- https://www.cdc.gov/cancer-survivors/patients/blood-clots.html
- https://www.cdc.gov/tb/hcp/mantoux/video.html

---

## Interactive controls must not be nested (WCAG 4.1.2)

**Bug ID:** `VS-07d4db71`  
**Pattern ID:** `VS-58301a87`  
**URL:** https://www.cdc.gov/nchs/nvss/vsrr.htm  
**XPath / selector:** `#accordion-1-collapse-1`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** axe-core — `nested-interactive` ([reference](https://dequeuniversity.com/rules/axe/4.12/nested-interactive?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 25 instances; 17 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### HTML snippet
```html
<div aria-labelledby="accordion-1-card-1" class="collapse d-print-block show " id="accordion-1-collapse-1" role="tab">
```

### Description
Interactive controls must not be nested. Detected by axe-core rule nested-interactive on 17 of 3333 scanned pages (25 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/nchs/nvss/vsrr.htm.
2. Locate the element: #accordion-1-collapse-1
3. Confirm the axe-core finding for rule nested-interactive 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.cdc.gov/nchs/nvss/vsrr.htm
- http://www.cdc.gov/tobacco/campaign/tips/spanish/poblaciones/hispano-latino.html
- http://www.cdc.gov/tobacco/campaign/tips/spanish/poblaciones/asiaticoamericanos.html
- https://www.cdc.gov/tobacco/campaign/tips/groups/hispanic-latino.html
- https://www.cdc.gov/tobacco/campaign/tips/spanish/poblaciones/hispano-latino.html
- http://www.cdc.gov/tobacco/campaign/tips/groups/asian-american.html
- http://www.cdc.gov/tobacco/campaign/tips/spanish/poblaciones/afroamericanos.html
- http://www.cdc.gov/tobacco/campaign/tips/spanish/poblaciones/fuerzas-armadas.html
- http://www.cdc.gov/tobacco/campaign/tips/spanish/poblaciones/audiencia-general.html
- http://www.cdc.gov/covid/php/antibody-seroprevalence/index.html
- https://www.cdc.gov/tobacco/campaign/tips/diseases/depression-anxiety.html
- http://www.cdc.gov/tobacco/campaign/tips/groups/disabilities.html
- https://www.cdc.gov/stophivtogether/hiv-testing/self-testing.html?s_cid=so_togetherconsumertk0295
- https://www.cdc.gov/tb/statistics/reports/2022/demographics.htm
- https://www.cdc.gov/tobacco/campaign/tips/spanish/poblaciones/fuerzas-armadas.html
- https://www.cdc.gov/tobacco/campaign/tips/groups/caregivers.html
- http://www.cdc.gov/tobacco/campaign/tips/about/index.html

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

### Suggested fix
**How to fix:** Don't nest interactive controls (e.g. a button inside a link); split them apart.

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

### Example pages
- https://www.cdc.gov/nchs/nvss/vsrr.htm
- http://www.cdc.gov/tobacco/campaign/tips/spanish/poblaciones/hispano-latino.html
- http://www.cdc.gov/tobacco/campaign/tips/spanish/poblaciones/asiaticoamericanos.html

---

## ARIA commands must have an accessible name (WCAG 4.1.2)

**Bug ID:** `VS-faa8d377`  
**Pattern ID:** `VS-5c82bd60`  
**URL:** https://www.cdc.gov/united-states-cancer-statistics/publications/prostate-cancer-stat-bite.html  
**XPath / selector:** `table[aria-rowcount="1"] > thead > tr > th:nth-child(1) > .sort-icon[role="button"]`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** axe-core — `aria-command-name` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-command-name?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 111 instances; 12 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### HTML snippet
```html
<span role="button" class="sort-icon"><svg class="up" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 10 5"><path d="M0 5l5-5 5 5z"></path></svg><svg class="down" xmlns="http://www.w3.org/2000/svg" vi
```

### Description
ARIA commands must have an accessible name. Detected by axe-core rule aria-command-name on 12 of 3333 scanned pages (111 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/united-states-cancer-statistics/publications/prostate-cancer-stat-bite.html.
2. Locate the element: table[aria-rowcount="1"] > thead > tr > th:nth-child(1) > .sort-icon[role="button"]
3. Confirm the axe-core finding for rule aria-command-name 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.cdc.gov/united-states-cancer-statistics/publications/prostate-cancer-stat-bite.html
- https://www.cdc.gov/united-states-cancer-statistics/publications/colorectal-cancer-stat-bite.html
- https://www.cdc.gov/hearing-loss-children/data/demographic-data.html
- http://www.cdc.gov/hepatitis/php/npr-2024/hep-b-reduce-deaths-api.html
- http://www.cdc.gov/hepatitis/php/npr-2025/hep-c-reduce-infections.html
- https://www.cdc.gov/hepatitis/php/npr-2024/hep-b-reduce-infections-pwid.html
- http://www.cdc.gov/hepatitis/php/npr-2024/hep-c-reduce-deaths-nhb.html
- http://www.cdc.gov/hepatitis/php/npr-2024/hep-a-reduce-infections.html
- https://www.cdc.gov/vaccine-safety-systems/hcp/cisa/index.html
- https://www.cdc.gov/hepatitis-surveillance-2023/hepatitis-c/figure-3-6.html
- https://www.cdc.gov/hepatitis-surveillance-2021/hepatitis-b/figure-2-7.html
- https://www.cdc.gov/hepatitis/php/npr-2024/hep-c-reduce-deaths.html

### 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 the command (button/link/menuitem) an accessible name via text or aria-label.

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

### Example pages
- https://www.cdc.gov/united-states-cancer-statistics/publications/prostate-cancer-stat-bite.html
- https://www.cdc.gov/united-states-cancer-statistics/publications/colorectal-cancer-stat-bite.html
- https://www.cdc.gov/hearing-loss-children/data/demographic-data.html

---

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

**Bug ID:** `VS-471fdc7c`  
**Pattern ID:** `VS-ebb1c464`  
**URL:** https://www.cdc.gov/niosh/data/datasets/rd-1081-2024-0/default.html  
**XPath / selector:** `#scan-result-1-icon`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** axe-core — `aria-prohibited-attr` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-prohibited-attr?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 2 instances; 2 of 3333 pages affected
  
**History:** first seen 2026-W28, last seen 2026-W29 (2 weeks)

### HTML snippet
```html
<forge-icon id="scan-result-1-icon" name="shield_check_outline" aria-labelledby="scan-result-1-tooltip"></forge-icon>
```

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

### Steps to reproduce
1. Open https://www.cdc.gov/niosh/data/datasets/rd-1081-2024-0/default.html.
2. Locate the element: #scan-result-1-icon
3. Confirm the axe-core finding for rule aria-prohibited-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.cdc.gov/niosh/data/datasets/rd-1081-2024-0/default.html
- https://www.cdc.gov/stophivtogether/hiv-testing/self-testing.html?s_cid=so_togetherconsumertk0295

### 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/aria-prohibited-attr?application=axeAPI

### Example pages
- https://www.cdc.gov/niosh/data/datasets/rd-1081-2024-0/default.html
- https://www.cdc.gov/stophivtogether/hiv-testing/self-testing.html?s_cid=so_togetherconsumertk0295

---

## ARIA hidden element must not be focusable or contain focusable elements (WCAG 4.1.2)

**Bug ID:** `VS-728a16e7`  
**Pattern ID:** `VS-45146742`  
**URL:** https://www.cdc.gov/ARDI  
**XPath / selector:** `#divIdleTimeout`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** axe-core — `aria-hidden-focus` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-hidden-focus?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 1 instances; 1 of 3333 pages affected
  
**History:** first seen 2026-W29, last seen 2026-W29 (1 week)

### HTML snippet
```html
<div id="divIdleTimeout" class="modal fade background-and-border-none" style="display: block;background: none;width: 100%;box-shadow: none;border: none;" tabindex="-1" role="dialog" aria-hidden="true"
```

### Description
ARIA hidden element must not be focusable or contain focusable elements. Detected by axe-core rule aria-hidden-focus on 1 of 3333 scanned pages (1 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/ARDI.
2. Locate the element: #divIdleTimeout
3. Confirm the axe-core finding for rule aria-hidden-focus 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.cdc.gov/ARDI

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

### Suggested fix
**How to fix:** Don't put focusable elements inside aria-hidden="true"; they become a keyboard trap for screen-reader users.

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

---

## ARIA input fields must have an accessible name (WCAG 4.1.2)

**Bug ID:** `VS-1723ff79`  
**Pattern ID:** `VS-0841abc2`  
**URL:** https://www.cdc.gov/overdose-prevention/data-research/facts-stats/dose-sys-accessible.html  
**XPath / selector:** `.rc-slider-handle-1`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** axe-core — `aria-input-field-name` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-input-field-name?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 2 instances; 1 of 3333 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W29 (3 weeks)

### HTML snippet
```html
<div tabindex="0" class="rc-slider-handle rc-slider-handle-1" role="slider" aria-valuemin="1" aria-valuemax="88" aria-valuenow="49" aria-disabled="false" style="left: 55.1724%; right: auto; transform:
```

### Description
ARIA input fields must have an accessible name. Detected by axe-core rule aria-input-field-name on 1 of 3333 scanned pages (2 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/overdose-prevention/data-research/facts-stats/dose-sys-accessible.html.
2. Locate the element: .rc-slider-handle-1
3. Confirm the axe-core finding for rule aria-input-field-name 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.cdc.gov/overdose-prevention/data-research/facts-stats/dose-sys-accessible.html

### 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/aria-input-field-name?application=axeAPI

---

## Form field has accessible name (WCAG 4.1.2)

**Bug ID:** `VS-ecee6cde`  
**Pattern ID:** `VS-a48e6078`  
**URL:** http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6006a6.htm?s_cid=mm6006a6_w  
**XPath / selector:** `<input id="searchBox" class="searchBox" name="query" maxlength="256">`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** Siteimprove Alfa — `sia-r8` ([reference](https://alfa.siteimprove.com/rules/sia-r8))  
**Severity:** Moderate  
**Frequency:** 122 instances; 101 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### Description
Form field has accessible name. Detected by Siteimprove Alfa rule sia-r8 on 101 of 3333 scanned pages (122 instances).

### Steps to reproduce
1. Open http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6006a6.htm?s_cid=mm6006a6_w.
2. Locate the element: <input id="searchBox" class="searchBox" name="query" maxlength="256">
3. Confirm the Siteimprove Alfa finding for rule sia-r8 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
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6006a6.htm?s_cid=mm6006a6_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6417a5.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6005a5.htm?s_cid=mm6005a5_w
- https://www.cdc.gov/nchs/hus/contents2019.htm?search=%2CState
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6142a1.htm?s_cid=mm6142a1_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6019md.htm?s_cid=mm6019md_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6013md.htm?s_cid=mm6013md_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6004a9.htm?s_cid=mm6004a9_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6007a2.htm?s_cid=mm6007a2_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6145a1.htm?s_cid=mm6145a1_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6041a2.htm?s_cid=mm6041a2_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5919a6.htm
- https://www.cdc.gov/mmwr/indss_2008.html
- https://www.cdc.gov/mmwr/preview/mmwrhtml/su6004a9.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5906md.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5919a2.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6051a6.htm?s_cid=mm6051a6_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6008a10.htm?s_cid=mm6008a10_w
- http://www.cdc.gov/mmwr/preview/index84.html
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6105a5.htm?s_cid=mm6105a5_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6127md.htm?s_cid=mm6127md_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6118a1.htm?s_cid=mm6118a1_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6147a4.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6044a4.htm?s_cid=mm6044a4_w
- http://www.cdc.gov/mmwr/index2011.html

…and more — 101 pages total ([download CSV](csv/alfa__sia-r8.csv)).

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

### Suggested fix
**How to fix:** Associate the form field with a label.

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r8

### Example pages
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6006a6.htm?s_cid=mm6006a6_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6417a5.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6005a5.htm?s_cid=mm6005a5_w

---

## Button has accessible name (WCAG 4.1.2)

**Bug ID:** `VS-ca3b73b7`  
**Pattern ID:** `VS-29f9f921`  
**URL:** https://www.cdc.gov/united-states-cancer-statistics/publications/prostate-cancer-stat-bite.html  
**XPath / selector:** `<span role="button" class="sort-icon">`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** Siteimprove Alfa — `sia-r12` ([reference](https://alfa.siteimprove.com/rules/sia-r12))  
**Severity:** Moderate  
**Frequency:** 84 instances; 14 of 3333 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W29 (5 weeks)

### Description
Button has accessible name. Detected by Siteimprove Alfa rule sia-r12 on 14 of 3333 scanned pages (84 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/united-states-cancer-statistics/publications/prostate-cancer-stat-bite.html.
2. Locate the element: <span role="button" class="sort-icon">
3. Confirm the Siteimprove Alfa finding for rule sia-r12 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.cdc.gov/united-states-cancer-statistics/publications/prostate-cancer-stat-bite.html
- https://www.cdc.gov/united-states-cancer-statistics/publications/colorectal-cancer-stat-bite.html
- https://www.cdc.gov/hearing-loss-children/data/demographic-data.html
- https://www.cdc.gov/stophivtogether/talk-hiv/index.html
- http://www.cdc.gov/hepatitis/php/npr-2024/hep-b-reduce-deaths-api.html
- http://www.cdc.gov/hepatitis/php/npr-2025/hep-c-reduce-infections.html
- http://www.cdc.gov/hiv/prevention/condoms.html
- https://www.cdc.gov/hepatitis/php/npr-2024/hep-b-reduce-infections-pwid.html
- http://www.cdc.gov/nchs/nvss/facility-worksheets-guide.htm
- https://www.cdc.gov/stophivtogether/hiv-testing/self-testing.html?s_cid=so_togetherconsumertk0295
- http://www.cdc.gov/hepatitis/php/npr-2024/hep-a-reduce-infections.html
- https://www.cdc.gov/vaccine-safety-systems/hcp/cisa/index.html
- http://www.cdc.gov/nchs/nvss/facility-worksheets-guide/14.htm
- https://www.cdc.gov/hepatitis/php/npr-2024/hep-c-reduce-deaths.html

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

### Suggested fix
**How to fix:** Give the button an accessible name via text, aria-label, or aria-labelledby.

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r12

### Example pages
- https://www.cdc.gov/united-states-cancer-statistics/publications/prostate-cancer-stat-bite.html
- https://www.cdc.gov/united-states-cancer-statistics/publications/colorectal-cancer-stat-bite.html
- https://www.cdc.gov/hearing-loss-children/data/demographic-data.html

---

## Component with same name serves same purpose (WCAG 4.1.2)

**Bug ID:** `VS-f8c1e3cc`  
**Pattern ID:** `VS-a2a3dffb`  
**URL:** http://www.cdc.gov/tobacco/campaign/tips/spanish/poblaciones/hispano-latino.html  
**XPath / selector:** `<div class="card-header h4 bg-white rounded-0 collapsed" role="tab" id="acc-header-2" href="#acc-panel-2">`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** Siteimprove Alfa — `sia-r90` ([reference](https://alfa.siteimprove.com/rules/sia-r90))  
**Severity:** Moderate  
**Frequency:** 11 instances; 6 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### Description
Component with same name serves same purpose. Detected by Siteimprove Alfa rule sia-r90 on 6 of 3333 scanned pages (11 instances).

### Steps to reproduce
1. Open http://www.cdc.gov/tobacco/campaign/tips/spanish/poblaciones/hispano-latino.html.
2. Locate the element: <div class="card-header h4 bg-white rounded-0 collapsed" role="tab" id="acc-header-2" href="#acc-panel-2">
3. Confirm the Siteimprove Alfa finding for rule sia-r90 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
- http://www.cdc.gov/tobacco/campaign/tips/spanish/poblaciones/hispano-latino.html
- https://www.cdc.gov/tobacco/campaign/tips/groups/hispanic-latino.html
- https://www.cdc.gov/tobacco/campaign/tips/spanish/poblaciones/hispano-latino.html
- https://www.cdc.gov/stophivtogether/hiv-testing/self-testing.html?s_cid=so_togetherconsumertk0295
- https://www.cdc.gov/tobacco/campaign/tips/spanish/poblaciones/fuerzas-armadas.html
- http://www.cdc.gov/tobacco/campaign/tips/about/index.html

### 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-r90

### Example pages
- http://www.cdc.gov/tobacco/campaign/tips/spanish/poblaciones/hispano-latino.html
- https://www.cdc.gov/tobacco/campaign/tips/groups/hispanic-latino.html
- https://www.cdc.gov/tobacco/campaign/tips/spanish/poblaciones/hispano-latino.html

---

## aria-hidden element does not contain focusable elements (WCAG 4.1.2)

**Bug ID:** `VS-0b68c3dd`  
**Pattern ID:** `VS-f6cf30ff`  
**URL:** https://www.cdc.gov/ARDI  
**XPath / selector:** `<div id="divIdleTimeout" class="modal fade background-and-border-none" style="display: block;background: none;width: 100%;box-shadow: none;border: none;" tabindex="-1">`  
**WCAG SC:** 4.1.2 — Name, Role, Value (Level A)  
**Rule:** Siteimprove Alfa — `sia-r17` ([reference](https://alfa.siteimprove.com/rules/sia-r17))  
**Severity:** Moderate  
**Frequency:** 2 instances; 1 of 3333 pages affected
  
**History:** first seen 2026-W28, last seen 2026-W29 (2 weeks)

### Description
aria-hidden element does not contain focusable elements. Detected by Siteimprove Alfa rule sia-r17 on 1 of 3333 scanned pages (2 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/ARDI.
2. Locate the element: <div id="divIdleTimeout" class="modal fade background-and-border-none" style="display: block;background: none;width: 100%;box-shadow: none;border: none;" tabindex="-1">
3. Confirm the Siteimprove Alfa finding for rule sia-r17 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.cdc.gov/ARDI

### 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-r17

---

## Elements must meet minimum color contrast ratio thresholds (WCAG 1.4.3)

**Bug ID:** `VS-3254ef35`  
**Pattern ID:** `VS-be8d563e`  
**URL:** http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6027a1.htm?s_cid=mm6027a1_w  
**XPath / selector:** `font`  
**WCAG SC:** 1.4.3 — Contrast (Minimum) (Level AA)  
**Rule:** axe-core — `color-contrast` ([reference](https://dequeuniversity.com/rules/axe/4.12/color-contrast?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 1085 instances; 720 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### HTML snippet
```html
<font color="red">Persons using assistive technology might not be able to fully access information in this file. For assistance, please send e-mail to: <a href="mailto:mmwrq@cdc.gov">mmwrq@cdc.gov</a>
```

### Description
Elements must meet minimum color contrast ratio thresholds. Detected by axe-core rule color-contrast on 720 of 3333 scanned pages (1085 instances).

### Steps to reproduce
1. Open http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6027a1.htm?s_cid=mm6027a1_w.
2. Locate the element: font
3. Confirm the axe-core finding for rule color-contrast against WCAG 1.4.3 Contrast (Minimum).

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

### Affected pages
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6027a1.htm?s_cid=mm6027a1_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5936a6.htm?s_cid=mm5936a6_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5510a3.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00039349.htm
- https://www.cdc.gov/pcd/issues/2013/12_0322_es.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6006a6.htm?s_cid=mm6006a6_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00056485.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00045578.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6417a5.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6005a5.htm?s_cid=mm6005a5_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm4937a6.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00020374.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6142a1.htm?s_cid=mm6142a1_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm4913a3.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6019md.htm?s_cid=mm6019md_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5528a9.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00001287.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5708md.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6013md.htm?s_cid=mm6013md_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00017905.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6004a9.htm?s_cid=mm6004a9_w
- https://www.cdc.gov/mmwr/preview/index82.html
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00031512.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00001186.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/su5502a2.htm

…and more — 720 pages total ([download CSV](csv/axe-core__color-contrast.csv)).

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

### Suggested fix
**How to fix:** Increase the contrast between text and its background to at least 4.5:1 (3:1 for large text). Check both light and dark modes.

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

### Example pages
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6027a1.htm?s_cid=mm6027a1_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5936a6.htm?s_cid=mm5936a6_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5510a3.htm

---

## Text has sufficient color contrast (Enhanced) (WCAG 1.4.3)

**Bug ID:** `VS-23c29705`  
**Pattern ID:** `VS-f7e99f4b`  
**URL:** https://www.cdc.gov/clean-hands/hcp/clinical-safety  
**XPath / selector:** `text: "Related Pages"`  
**WCAG SC:** 1.4.3 — Contrast (Minimum) (Level AA)  
**Rule:** Siteimprove Alfa — `sia-r69` ([reference](https://alfa.siteimprove.com/rules/sia-r69))  
**Severity:** Moderate  
**Frequency:** 2551 instances; 456 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### Description
Text has sufficient color contrast (Enhanced). Detected by Siteimprove Alfa rule sia-r69 on 456 of 3333 scanned pages (2551 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/clean-hands/hcp/clinical-safety.
2. Locate the element: text: "Related Pages"
3. Confirm the Siteimprove Alfa finding for rule sia-r69 against WCAG 1.4.3 Contrast (Minimum).

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

### Affected pages
- https://www.cdc.gov/clean-hands/hcp/clinical-safety
- https://www.cdc.gov/high-blood-pressure/risk-factors/index.html
- https://www.cdc.gov/immigrant-refugee-health/hcp/domestic-guidance/mental-health.html
- https://www.cdc.gov/global-health-protection/php/stories-from-the-field/el-salvador-improves-outbreak-response-by-measuring-what-matters.html
- https://www.cdc.gov/niosh/motor-vehicle/distracted-driving/index.html
- http://www.cdc.gov/heart-disease/about/index.html
- https://www.cdc.gov/hearing-loss-children/es/screening/pruebas-de-deteccion-de-perdida-auditiva.html
- https://www.cdc.gov/data-interoperability/php/mdn
- https://www.cdc.gov/united-states-cancer-statistics/publications/prostate-cancer-stat-bite.html
- https://www.cdc.gov/heartland-virus/about/index.html
- https://www.cdc.gov/lung-cancer/screening/index.html
- https://www.cdc.gov/niosh/centers/maritime.html
- https://www.cdc.gov/surveillance/nvsn/index.html
- https://www.cdc.gov/cervical-cancer/es/stories/jen.html
- https://www.cdc.gov/candida-auris/hcp/infection-control/index.html
- http://www.cdc.gov/funding/about/index.html
- https://www.cdc.gov/global-hiv-tb/php/where-we-work/elsalvador.html
- http://www.cdc.gov/mmwr/index2024.html
- https://www.cdc.gov/hepatitis/about/index.html
- https://www.cdc.gov/traumatic-brain-injury/data-research/comparing-head-impacts/index.html
- https://www.cdc.gov/diabetes/awareness-campaigns/prediabetes-awareness-campaign.html
- https://www.cdc.gov/advanced-molecular-detection/php/investments/hawaii.html
- https://www.cdc.gov/nchs/pressroom/recent-data/index.html
- https://www.cdc.gov/pcd/es/2010_may_toc.htm
- https://www.cdc.gov/parasites/caring/index.html

…and more — 456 pages total ([download CSV](csv/alfa__sia-r69.csv)).

### 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 AA (4.5:1, or 3:1 for large text).

See remediation guidance: https://alfa.siteimprove.com/rules/sia-r69

### Example pages
- https://www.cdc.gov/clean-hands/hcp/clinical-safety
- https://www.cdc.gov/high-blood-pressure/risk-factors/index.html
- https://www.cdc.gov/immigrant-refugee-health/hcp/domestic-guidance/mental-health.html

---

## Text has enhanced contrast (WCAG 1.4.6)

**Bug ID:** `VS-3f190ef2`  
**Pattern ID:** `VS-646b1e0b`  
**URL:** https://www.cdc.gov/clean-hands/hcp/clinical-safety  
**XPath / selector:** `text: "
					Here's how you know
					"`  
**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:** 37951 instances; 1263 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### Description
Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 1263 of 3333 scanned pages (37951 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/clean-hands/hcp/clinical-safety.
2. Locate the element: text: "
					Here's how you know
					"
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://www.cdc.gov/clean-hands/hcp/clinical-safety
- https://www.cdc.gov/listeria/outbreaks/meat-and-poultry-products-11-24/index.html
- https://www.cdc.gov/high-blood-pressure/risk-factors/index.html
- https://www.cdc.gov/niosh/docs/2012-162
- https://www.cdc.gov/natural-disasters/communication-resources/feeling-stressed-after-the-hurricanes-billboard.html
- https://www.cdc.gov/niosh/docs/2010-125
- https://www.cdc.gov/immigrant-refugee-health/hcp/domestic-guidance/mental-health.html
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6006a6.htm?s_cid=mm6006a6_w
- https://www.cdc.gov/mold-health/communication-resources/shopping-list-for-cleaning-mold.html
- https://www.cdc.gov/pcd/issues/2009/jan/07_0240.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6417a5.htm
- https://www.cdc.gov/niosh/docs/2005-145
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6005a5.htm?s_cid=mm6005a5_w
- http://www.cdc.gov/pcd/issues/2009/jan/08_0009_fr.htm
- https://www.cdc.gov/nchs/hus/contents2019.htm?search=%2CState
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6142a1.htm?s_cid=mm6142a1_w
- https://www.cdc.gov/botulism/outbreaks-investigations/index.html
- https://www.cdc.gov/global-health-protection/php/stories-from-the-field/el-salvador-improves-outbreak-response-by-measuring-what-matters.html
- https://www.cdc.gov/mmwr/volumes/65/wr/mm6552a11.htm?s_cid=mm6552a11_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6019md.htm?s_cid=mm6019md_w
- https://www.cdc.gov/mmwr/volumes/69/wr/mm6944a4.htm?s_cid=mm6944a4_w
- https://www.cdc.gov/niosh/docs/mining/works/coversheet90.html
- https://www.cdc.gov/mmwr/volumes/65/wr/mm6543a6.htm?s_cid=mm6543a6_w
- https://www.cdc.gov/niosh/motor-vehicle/distracted-driving/index.html
- http://www.cdc.gov/heart-disease/about/index.html

…and more — 1263 pages total ([download CSV](csv/alfa__sia-r66.csv)).

### 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://www.cdc.gov/clean-hands/hcp/clinical-safety
- https://www.cdc.gov/listeria/outbreaks/meat-and-poultry-products-11-24/index.html
- https://www.cdc.gov/high-blood-pressure/risk-factors/index.html

---

## Link is distinguishable without relying on color (WCAG 1.4.8)

**Bug ID:** `VS-d8317446`  
**Pattern ID:** `VS-fbf54eba`  
**URL:** https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5510a3.htm  
**XPath / selector:** `<p style="font-family: Arial, Helvetica, sans-serif; font-size: 8pt; color: #333333;">`  
**WCAG SC:** 1.4.8 — Visual Presentation (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r74` ([reference](https://alfa.siteimprove.com/rules/sia-r74))  
**Severity:** Moderate  
**Frequency:** 58190 instances; 575 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### Description
Link is distinguishable without relying on color. Detected by Siteimprove Alfa rule sia-r74 on 575 of 3333 scanned pages (58190 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5510a3.htm.
2. Locate the element: <p style="font-family: Arial, Helvetica, sans-serif; font-size: 8pt; color: #333333;">
3. Confirm the Siteimprove Alfa finding for rule sia-r74 against WCAG 1.4.8 Visual Presentation.

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

### Affected pages
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5510a3.htm
- https://www.cdc.gov/niosh/docs/2012-162
- https://www.cdc.gov/niosh/docs/2010-125
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00039349.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6006a6.htm?s_cid=mm6006a6_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00056485.htm
- https://www.cdc.gov/pcd/issues/2009/jan/07_0240.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6417a5.htm
- https://www.cdc.gov/niosh/docs/2005-145
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6005a5.htm?s_cid=mm6005a5_w
- http://www.cdc.gov/pcd/issues/2009/jan/08_0009_fr.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6142a1.htm?s_cid=mm6142a1_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6019md.htm?s_cid=mm6019md_w
- https://www.cdc.gov/niosh/docs/mining/works/coversheet90.html
- https://www.cdc.gov/niosh/motor-vehicle/distracted-driving/index.html
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00001287.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6013md.htm?s_cid=mm6013md_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6004a9.htm?s_cid=mm6004a9_w
- http://www.cdc.gov/pcd/issues/2010/sep/10_0046.htm
- https://www.cdc.gov/niosh/docs/2017-100/default.html
- https://www.cdc.gov/pcd/issues/2020/20_0076.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/su5502a2.htm
- https://www.cdc.gov/niosh/docs/mining/works/coversheet522.html
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00045972.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6007a2.htm?s_cid=mm6007a2_w

…and more — 575 pages total ([download CSV](csv/alfa__sia-r74.csv)).

### 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-r74

### Example pages
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5510a3.htm
- https://www.cdc.gov/niosh/docs/2012-162
- https://www.cdc.gov/niosh/docs/2010-125

---

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

**Bug ID:** `VS-d23a4e14`  
**Pattern ID:** `VS-2208081b`  
**URL:** https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5510a3.htm  
**XPath / selector:** `<p align="left">`  
**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:** 202309 instances; 491 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### Description
Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 491 of 3333 scanned pages (202309 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5510a3.htm.
2. Locate the element: <p align="left">
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://www.cdc.gov/mmwr/preview/mmwrhtml/mm5510a3.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00039349.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6006a6.htm?s_cid=mm6006a6_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00056485.htm
- https://www.cdc.gov/pcd/issues/2009/jan/07_0240.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6417a5.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6005a5.htm?s_cid=mm6005a5_w
- http://www.cdc.gov/pcd/issues/2009/jan/08_0009_fr.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6142a1.htm?s_cid=mm6142a1_w
- https://www.cdc.gov/mmwr/volumes/65/wr/mm6552a11.htm?s_cid=mm6552a11_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6019md.htm?s_cid=mm6019md_w
- https://www.cdc.gov/mmwr/volumes/65/wr/mm6543a6.htm?s_cid=mm6543a6_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00001287.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6013md.htm?s_cid=mm6013md_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6004a9.htm?s_cid=mm6004a9_w
- http://www.cdc.gov/pcd/issues/2010/sep/10_0046.htm
- https://www.cdc.gov/pcd/issues/2020/20_0076.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/su5502a2.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00045972.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6007a2.htm?s_cid=mm6007a2_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00016673.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00000621.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5644a6.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00000258.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5521a3.htm

…and more — 491 pages total ([download CSV](csv/alfa__sia-r73.csv)).

### 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://www.cdc.gov/mmwr/preview/mmwrhtml/mm5510a3.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00039349.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6006a6.htm?s_cid=mm6006a6_w

---

## Scrollable element is keyboard accessible (WCAG 1.4.8)

**Bug ID:** `VS-fbd7e923`  
**Pattern ID:** `VS-388b5438`  
**URL:** http://www.cdc.gov/pcd/issues/2010/sep/toc.htm  
**XPath / selector:** `<p class="deck">`  
**WCAG SC:** 1.4.8 — Visual Presentation (Level AAA)  
**Rule:** Siteimprove Alfa — `sia-r80` ([reference](https://alfa.siteimprove.com/rules/sia-r80))  
**Severity:** Moderate  
**Frequency:** 5 instances; 3 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### Description
Scrollable element is keyboard accessible. Detected by Siteimprove Alfa rule sia-r80 on 3 of 3333 scanned pages (5 instances).

### Steps to reproduce
1. Open http://www.cdc.gov/pcd/issues/2010/sep/toc.htm.
2. Locate the element: <p class="deck">
3. Confirm the Siteimprove Alfa finding for rule sia-r80 against WCAG 1.4.8 Visual Presentation.

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

### Affected pages
- http://www.cdc.gov/pcd/issues/2010/sep/toc.htm
- https://www.cdc.gov/ARDI
- https://www.cdc.gov/Spanish

### 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-r80

### Example pages
- http://www.cdc.gov/pcd/issues/2010/sep/toc.htm
- https://www.cdc.gov/ARDI
- https://www.cdc.gov/Spanish

---

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

**Bug ID:** `VS-2788d8f3`  
**Pattern ID:** `VS-cb53cc4d`  
**URL:** https://www.cdc.gov/clean-hands/hcp/clinical-safety  
**XPath / selector:** `<button class="btn btn-outline-white btn-arrow-down btn-fancy" id="megaButton">`  
**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:** 45549 instances; 1495 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### Description
Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 1495 of 3333 scanned pages (45549 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/clean-hands/hcp/clinical-safety.
2. Locate the element: <button class="btn btn-outline-white btn-arrow-down btn-fancy" id="megaButton">
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://www.cdc.gov/clean-hands/hcp/clinical-safety
- https://www.cdc.gov/listeria/outbreaks/meat-and-poultry-products-11-24/index.html
- https://www.cdc.gov/high-blood-pressure/risk-factors/index.html
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5510a3.htm
- https://www.cdc.gov/niosh/docs/2012-162
- https://www.cdc.gov/natural-disasters/communication-resources/feeling-stressed-after-the-hurricanes-billboard.html
- https://www.cdc.gov/niosh/docs/2010-125
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00039349.htm
- https://www.cdc.gov/immigrant-refugee-health/hcp/domestic-guidance/mental-health.html
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6006a6.htm?s_cid=mm6006a6_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00056485.htm
- https://www.cdc.gov/mold-health/communication-resources/shopping-list-for-cleaning-mold.html
- https://www.cdc.gov/pcd/issues/2009/jan/07_0240.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6417a5.htm
- https://www.cdc.gov/niosh/docs/2005-145
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6005a5.htm?s_cid=mm6005a5_w
- http://www.cdc.gov/pcd/issues/2009/jan/08_0009_fr.htm
- https://www.cdc.gov/nchs/hus/contents2019.htm?search=%2CState
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6142a1.htm?s_cid=mm6142a1_w
- https://www.cdc.gov/botulism/outbreaks-investigations/index.html
- https://www.cdc.gov/global-health-protection/php/stories-from-the-field/el-salvador-improves-outbreak-response-by-measuring-what-matters.html
- https://www.cdc.gov/mmwr/volumes/65/wr/mm6552a11.htm?s_cid=mm6552a11_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6019md.htm?s_cid=mm6019md_w
- https://www.cdc.gov/mmwr/volumes/69/wr/mm6944a4.htm?s_cid=mm6944a4_w
- https://www.cdc.gov/niosh/docs/mining/works/coversheet90.html

…and more — 1495 pages total ([download CSV](csv/alfa__sia-r111.csv)).

### 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://www.cdc.gov/clean-hands/hcp/clinical-safety
- https://www.cdc.gov/listeria/outbreaks/meat-and-poultry-products-11-24/index.html
- https://www.cdc.gov/high-blood-pressure/risk-factors/index.html

---

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

**Bug ID:** `VS-1d43ca41`  
**Pattern ID:** `VS-f18df681`  
**URL:** https://www.cdc.gov/spanish/niosh/docs/wp-solutions/2010-150_sp  
**XPath / selector:** `.cdc-site-gov-notice`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `region` ([reference](https://dequeuniversity.com/rules/axe/4.12/region?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 22524 instances; 3062 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### HTML snippet
```html
<div class="cdc-site-gov-notice noindex noprint" aria-label="Un sitio oficial del Gobierno de Estados Unidos">
```

### Description
All page content should be contained by landmarks. Detected by axe-core rule region on 3062 of 3333 scanned pages (22524 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/spanish/niosh/docs/wp-solutions/2010-150_sp.
2. Locate the element: .cdc-site-gov-notice
3. Confirm the axe-core finding for rule region.

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

### Affected pages
- https://www.cdc.gov/spanish/niosh/docs/wp-solutions/2010-150_sp
- https://www.cdc.gov/clean-hands/hcp/clinical-safety
- https://www.cdc.gov/listeria/outbreaks/meat-and-poultry-products-11-24/index.html
- https://www.cdc.gov/contact-lenses/prevention/index.html
- https://www.cdc.gov/high-blood-pressure/risk-factors/index.html
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6027a1.htm?s_cid=mm6027a1_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5936a6.htm?s_cid=mm5936a6_w
- https://www.cdc.gov/brfss/questionnaires/modules/state2022.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5510a3.htm
- https://www.cdc.gov/niosh/docs/2012-162
- https://www.cdc.gov/nchs/w2w/new_hampshire.htm
- https://www.cdc.gov/natural-disasters/communication-resources/feeling-stressed-after-the-hurricanes-billboard.html
- https://www.cdc.gov/niosh/docs/2010-125
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00039349.htm
- https://www.cdc.gov/immigrant-refugee-health/hcp/domestic-guidance/mental-health.html
- https://www.cdc.gov/pcd/issues/2013/12_0322_es.htm
- http://www.cdc.gov/mmwr/volumes/71/wr/mm7139a1.htm
- https://www.cdc.gov/vector-borne-diseases/hcp/clinical-guidance-immunocompromised/index.html
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6006a6.htm?s_cid=mm6006a6_w
- https://www.cdc.gov/salmonella/outbreaks/oysters-12-25/index.html
- https://www.cdc.gov/ncird/site.html
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00056485.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00045578.htm
- https://www.cdc.gov/mmwr/volumes/69/wr/mm6940e2.htm?s_cid=mm6940e2_w
- https://www.cdc.gov/coronavirus/2019-ncov/community/correction-detention/guidance-correctional-detention.html

…and more — 3062 pages total ([download CSV](csv/axe-core__region.csv)).

### 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://www.cdc.gov/spanish/niosh/docs/wp-solutions/2010-150_sp
- https://www.cdc.gov/clean-hands/hcp/clinical-safety
- https://www.cdc.gov/listeria/outbreaks/meat-and-poultry-products-11-24/index.html

---

## Form elements should have a visible label (WCAG criterion undetermined)

**Bug ID:** `VS-1701fe85`  
**Pattern ID:** `VS-33841929`  
**URL:** https://www.cdc.gov/pcd/issues/2009/jan/07_0240.htm  
**XPath / selector:** `.smallfield`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `label-title-only` ([reference](https://dequeuniversity.com/rules/axe/4.12/label-title-only?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 136 instances; 136 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### HTML snippet
```html
<input class="smallfield" type="text" name="email" size="15" title="Insert e-mail" value="Insert e-mail" onfocus="this.value=''">
```

### Description
Form elements should have a visible label. Detected by axe-core rule label-title-only on 136 of 3333 scanned pages (136 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/pcd/issues/2009/jan/07_0240.htm.
2. Locate the element: .smallfield
3. Confirm the axe-core finding for rule label-title-only.

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

### Affected pages
- https://www.cdc.gov/pcd/issues/2009/jan/07_0240.htm
- http://www.cdc.gov/pcd/issues/2009/jan/08_0009_fr.htm
- https://www.cdc.gov/pcd/issues/2008/jan/06_0144_zht.htm
- https://www.cdc.gov/pcd/issues/2005/nov/05_0076_zhs.htm
- http://www.cdc.gov/pcd/issues/2010/sep/10_0046.htm
- http://www.cdc.gov/pcd/issues/2011/nov/10_0194.htm
- https://www.cdc.gov/pcd/issues/2004/jan/03_00010a.htm
- https://www.cdc.gov/pcd/issues/2009/jan/07_0199_zhs.htm
- https://www.cdc.gov/pcd/issues/2010/may/09_0123_es.htm
- http://www.cdc.gov/pcd/issues/2008/oct/07_0158_zht.htm
- http://www.cdc.gov/pcd/issues/2009/jan/08_0026_zhs.htm
- https://www.cdc.gov/pcd/issues/2006/jan/05_0121.htm
- http://www.cdc.gov/pcd/issues/2009/jan/07_0240_zhs.htm
- https://www.cdc.gov/pcd/issues/2009/jan/08_0029.htm
- https://www.cdc.gov/pcd/issues/2007/oct/07_0018_es.htm
- https://www.cdc.gov/pcd/issues/2007/oct/07_0074_es.htm
- https://www.cdc.gov/pcd/issues/2009/jan/07_0262_zhs.htm
- http://www.cdc.gov/pcd/issues/2008/oct/07_0167.htm
- http://www.cdc.gov/pcd/issues/2010/sep/10_0024.htm
- https://www.cdc.gov/pcd/issues/2010/may/09_0046_es.htm
- https://www.cdc.gov/pcd/issues/2009/apr/08_0200_es.htm
- https://www.cdc.gov/pcd/issues/2004/jan/03_0011.htm
- https://www.cdc.gov/pcd/issues/2009/apr/08_0088_es.htm
- https://www.cdc.gov/pcd/issues/2010/may/09_0138.htm
- https://www.cdc.gov/pcd/issues/2009/jan/07_0276_fr.htm

…and more — 136 pages total ([download CSV](csv/axe-core__label-title-only.csv)).

### 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/label-title-only?application=axeAPI

### Example pages
- https://www.cdc.gov/pcd/issues/2009/jan/07_0240.htm
- http://www.cdc.gov/pcd/issues/2009/jan/08_0009_fr.htm
- https://www.cdc.gov/pcd/issues/2008/jan/06_0144_zht.htm

---

## Elements should not have tabindex greater than zero (WCAG criterion undetermined)

**Bug ID:** `VS-71adeed8`  
**Pattern ID:** `VS-7430f84c`  
**URL:** https://www.cdc.gov/index.html  
**XPath / selector:** `a[href$="#content"]`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `tabindex` ([reference](https://dequeuniversity.com/rules/axe/4.12/tabindex?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 9 instances; 3 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (2 weeks)

### HTML snippet
```html
<a class="skippy visually-hidden-focusable" href="#content" tabindex="1">Skip to site content</a>
```

### Description
Elements should not have tabindex greater than zero. Detected by axe-core rule tabindex on 3 of 3333 scanned pages (9 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/index.html.
2. Locate the element: a[href$="#content"]
3. Confirm the axe-core finding for rule tabindex.

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

### Affected pages
- https://www.cdc.gov/index.html
- https://www.cdc.gov/spanish/niosh
- https://www.cdc.gov/Spanish

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

### Suggested fix
**How to fix:** Avoid tabindex values greater than 0; they create a confusing tab order.

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

### Example pages
- https://www.cdc.gov/index.html
- https://www.cdc.gov/spanish/niosh
- https://www.cdc.gov/Spanish

---

## ARIA dialog and alertdialog nodes should have an accessible name (WCAG criterion undetermined)

**Bug ID:** `VS-c7d3ae83`  
**Pattern ID:** `VS-fa724f90`  
**URL:** http://www.cdc.gov/wtc  
**XPath / selector:** `.sr-modal-dialog`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `aria-dialog-name` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-dialog-name?application=axeAPI))  
**Severity:** Serious  
**Frequency:** 1 instances; 1 of 3333 pages affected
  
**History:** first seen 2026-W29, last seen 2026-W29 (1 week)

### HTML snippet
```html
<div class="sr-modal-dialog" role="dialog" tabindex="-1" style="max-width: 500px;">
```

### Description
ARIA dialog and alertdialog nodes should have an accessible name. Detected by axe-core rule aria-dialog-name on 1 of 3333 scanned pages (1 instances).

### Steps to reproduce
1. Open http://www.cdc.gov/wtc.
2. Locate the element: .sr-modal-dialog
3. Confirm the axe-core finding for rule aria-dialog-name.

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

### Affected pages
- http://www.cdc.gov/wtc

### 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 the dialog an accessible name (aria-label or aria-labelledby).

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

---

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

**Bug ID:** `VS-f6344d97`  
**Pattern ID:** `VS-d25f622d`  
**URL:** https://www.cdc.gov/clean-hands/hcp/clinical-safety  
**XPath / selector:** `.dfe-section:nth-child(5) > h4`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `heading-order` ([reference](https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 1500 instances; 1035 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### HTML snippet
```html
<h4>Resources</h4>
```

### Description
Heading levels should only increase by one. Detected by axe-core rule heading-order on 1035 of 3333 scanned pages (1500 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/clean-hands/hcp/clinical-safety.
2. Locate the element: .dfe-section:nth-child(5) > h4
3. Confirm the axe-core finding for rule heading-order.

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

### Affected pages
- https://www.cdc.gov/clean-hands/hcp/clinical-safety
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5510a3.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00039349.htm
- https://www.cdc.gov/pcd/issues/2013/12_0322_es.htm
- http://www.cdc.gov/mmwr/volumes/71/wr/mm7139a1.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00056485.htm
- https://www.cdc.gov/mmwr/volumes/69/wr/mm6940e2.htm?s_cid=mm6940e2_w
- https://www.cdc.gov/pcd/issues/2009/jan/07_0240.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00020374.htm
- http://www.cdc.gov/pcd/issues/2009/jan/08_0009_fr.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm4913a3.htm
- https://www.cdc.gov/mmwr/volumes/65/wr/mm6552a11.htm?s_cid=mm6552a11_w
- https://www.cdc.gov/pcd/issues/2008/jan/06_0144_zht.htm
- https://www.cdc.gov/mmwr/volumes/69/wr/mm6944a4.htm?s_cid=mm6944a4_w
- https://www.cdc.gov/mmwr/volumes/65/wr/mm6543a6.htm?s_cid=mm6543a6_w
- https://www.cdc.gov/pcd/issues/2017/17_0073.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00001287.htm
- https://www.cdc.gov/pcd/issues/2005/nov/05_0076_zhs.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00017905.htm
- https://www.cdc.gov/mmwr/volumes/72/wr/mm7204a1.htm?s_cid=mm7204a1_w
- http://www.cdc.gov/pcd/issues/2010/sep/10_0046.htm
- https://www.cdc.gov/mmwr/preview/index82.html
- https://www.cdc.gov/pcd/issues/2020/20_0076.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/su5502a2.htm
- https://www.cdc.gov/nchs/products/databriefs/db360.htm

…and more — 1035 pages total ([download CSV](csv/axe-core__heading-order.csv)).

### 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://www.cdc.gov/clean-hands/hcp/clinical-safety
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5510a3.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00039349.htm

---

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

**Bug ID:** `VS-3e0e154a`  
**Pattern ID:** `VS-8806389c`  
**URL:** https://www.cdc.gov/clean-hands/hcp/clinical-safety  
**XPath / selector:** `.page-right-rail__static`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-unique` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-unique?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 900 instances; 868 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### HTML snippet
```html
<aside class="page-right-rail__static noindex" role="complementary" style="margin-top: 47px;">
```

### Description
Landmarks should have a unique role or role/label/title (i.e. accessible name) c. Detected by axe-core rule landmark-unique on 868 of 3333 scanned pages (900 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/clean-hands/hcp/clinical-safety.
2. Locate the element: .page-right-rail__static
3. Confirm the axe-core finding for rule landmark-unique.

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

### Affected pages
- https://www.cdc.gov/clean-hands/hcp/clinical-safety
- https://www.cdc.gov/contact-lenses/prevention/index.html
- https://www.cdc.gov/high-blood-pressure/risk-factors/index.html
- https://www.cdc.gov/immigrant-refugee-health/hcp/domestic-guidance/mental-health.html
- https://www.cdc.gov/vector-borne-diseases/hcp/clinical-guidance-immunocompromised/index.html
- https://www.cdc.gov/early-care-education/php/success-stories/licensing.html
- https://www.cdc.gov/global-health-protection/php/stories-from-the-field/el-salvador-improves-outbreak-response-by-measuring-what-matters.html
- https://www.cdc.gov/niosh/motor-vehicle/distracted-driving/index.html
- http://www.cdc.gov/heart-disease/about/index.html
- https://www.cdc.gov/nchs/npals/study-cycles/2018.html
- https://www.cdc.gov/mycoplasma/php/surveillance/index.html
- http://www.cdc.gov/hepatitis/php/npr-2024/overview.html
- https://www.cdc.gov/hearing-loss-children/es/screening/pruebas-de-deteccion-de-perdida-auditiva.html
- https://www.cdc.gov/international-infection-control/php/stories/gaihn-india-ar-detection.html
- https://www.cdc.gov/talaromycosis/about/index.html
- https://www.cdc.gov/meningococcal/php/global/index.html
- http://www.cdc.gov/national-program-cancer-registries/registry-plus/exchange-plus.html
- https://www.cdc.gov/hpv/vaccines?CDC_AAref_Val=https%3A%2F%2Fwww.cdc.gov%2Fhpv%2Fparents%2Fvaccine-for-hpv.html
- https://www.cdc.gov/physical-activity-education/staying-healthy/sleep.html
- https://www.cdc.gov/united-states-cancer-statistics/publications/prostate-cancer-stat-bite.html
- https://www.cdc.gov/heartland-virus/about/index.html
- https://www.cdc.gov/diabetes/healthy-eating/diabetes-and-kidney-disease-food.html
- https://www.cdc.gov/lung-cancer/screening/index.html
- https://www.cdc.gov/niosh/centers/maritime.html
- https://www.cdc.gov/port-health/php/airline-guidance/measles-airline-recommendations.html

…and more — 868 pages total ([download CSV](csv/axe-core__landmark-unique.csv)).

### 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://www.cdc.gov/clean-hands/hcp/clinical-safety
- https://www.cdc.gov/contact-lenses/prevention/index.html
- https://www.cdc.gov/high-blood-pressure/risk-factors/index.html

---

## Document should have one main landmark (WCAG criterion undetermined)

**Bug ID:** `VS-abe49e0e`  
**Pattern ID:** `VS-d5d82446`  
**URL:** http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6027a1.htm?s_cid=mm6027a1_w  
**XPath / selector:** `#js`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-one-main` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-one-main?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 843 instances; 843 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### HTML snippet
```html
<html xmlns="http://www.w3.org/1999/xhtml" xml:lang="en" lang="en" id="js">
```

### Description
Document should have one main landmark. Detected by axe-core rule landmark-one-main on 843 of 3333 scanned pages (843 instances).

### Steps to reproduce
1. Open http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6027a1.htm?s_cid=mm6027a1_w.
2. Locate the element: #js
3. Confirm the axe-core finding for rule landmark-one-main.

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

### Affected pages
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6027a1.htm?s_cid=mm6027a1_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5936a6.htm?s_cid=mm5936a6_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5510a3.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00039349.htm
- https://www.cdc.gov/pcd/issues/2013/12_0322_es.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6006a6.htm?s_cid=mm6006a6_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00056485.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00045578.htm
- https://www.cdc.gov/pcd/issues/2009/jan/07_0240.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6417a5.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6005a5.htm?s_cid=mm6005a5_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm4937a6.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00020374.htm
- http://www.cdc.gov/pcd/issues/2009/jan/08_0009_fr.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6142a1.htm?s_cid=mm6142a1_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm4913a3.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6019md.htm?s_cid=mm6019md_w
- https://www.cdc.gov/pcd/issues/2008/jan/06_0144_zht.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5528a9.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00001287.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5708md.htm
- https://www.cdc.gov/pcd/issues/2005/nov/05_0076_zhs.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6013md.htm?s_cid=mm6013md_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00017905.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6004a9.htm?s_cid=mm6004a9_w

…and more — 843 pages total ([download CSV](csv/axe-core__landmark-one-main.csv)).

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

### Suggested fix
**How to fix:** Each page should have exactly one <main> landmark.

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

### Example pages
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6027a1.htm?s_cid=mm6027a1_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5936a6.htm?s_cid=mm5936a6_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5510a3.htm

---

## Page should contain a level-one heading (WCAG criterion undetermined)

**Bug ID:** `VS-56ff7cf4`  
**Pattern ID:** `VS-fa44f293`  
**URL:** https://www.cdc.gov/ncird/site.html  
**XPath / selector:** `html`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `page-has-heading-one` ([reference](https://dequeuniversity.com/rules/axe/4.12/page-has-heading-one?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 189 instances; 189 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### HTML snippet
```html
<html lang="en-us" class="cdc-theme-cdc cdc-page-type--content">
```

### Description
Page should contain a level-one heading. Detected by axe-core rule page-has-heading-one on 189 of 3333 scanned pages (189 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/ncird/site.html.
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
- https://www.cdc.gov/ncird/site.html
- https://www.cdc.gov/coronavirus/2019-ncov/community/correction-detention/guidance-correctional-detention.html
- https://www.cdc.gov/balantidium/site.html
- https://www.cdc.gov/tourette-syndrome
- http://www.cdc.gov/vaccines/acip/meetings/meetings-info.html
- https://www.cdc.gov/os/index.html
- http://www.cdc.gov/abcs/index.html
- https://www.cdc.gov/vaccines/acip/members/bios.html
- http://www.cdc.gov/antibiotic-use/site.html
- https://www.cdc.gov/cryptococcosis
- https://www.cdc.gov/vitalsigns/drowning/index.html
- http://www.cdc.gov/healthyyouth/yrbs/questionnaire_rationale.htm
- https://www.cdc.gov/vaccines/hcp/index.html
- http://www.cdc.gov/yrbs
- https://www.cdc.gov/environmental-exposure-report/index.html
- http://www.cdc.gov/cancer/npcr/uscs/2007/technical_notes/stat_methods/suppression.htm
- https://www.cdc.gov/uscs
- https://www.cdc.gov/norovirus/es/norovirus.html
- https://www.cdc.gov/heart-disease-and-stroke-data/index.html
- http://www.cdc.gov/vaccines/acip/committee/members.html
- https://www.cdc.gov/vaccines/acip/recs/grade/mening-MenACWY-TT-MenB-FHbp-etr.html
- https://www.cdc.gov/vaccines/imz-managers/coverage/covidvaxview/interactive.html
- https://www.cdc.gov/vaccine-safety-systems/index.html
- http://www.cdc.gov/vaccines/acip/work-groups-vast/report-2021-05-17.html
- https://www.cdc.gov/flu/fluvaxview/coverage-1920estimates.htm

…and more — 189 pages total ([download CSV](csv/axe-core__page-has-heading-one.csv)).

### 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

### Example pages
- https://www.cdc.gov/ncird/site.html
- https://www.cdc.gov/coronavirus/2019-ncov/community/correction-detention/guidance-correctional-detention.html
- https://www.cdc.gov/balantidium/site.html

---

## The skip-link target should exist and be focusable (WCAG criterion undetermined)

**Bug ID:** `VS-b460e4a9`  
**Pattern ID:** `VS-4edfe386`  
**URL:** https://www.cdc.gov/pcd/issues/2013/12_0322_es.htm  
**XPath / selector:** `a[href$="#az"]`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `skip-link` ([reference](https://dequeuniversity.com/rules/axe/4.12/skip-link?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 37 instances; 37 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### HTML snippet
```html
<a href="#az" class="skippy" title="Salte directo al listado de A-Z">Salte directo al listado de A-Z</a>
```

### Description
The skip-link target should exist and be focusable. Detected by axe-core rule skip-link on 37 of 3333 scanned pages (37 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/pcd/issues/2013/12_0322_es.htm.
2. Locate the element: a[href$="#az"]
3. Confirm the axe-core finding for rule skip-link.

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

### Affected pages
- https://www.cdc.gov/pcd/issues/2013/12_0322_es.htm
- https://www.cdc.gov/pcd/issues/2013/11_0285_es.htm
- https://www.cdc.gov/pcd/issues/2012/11_0277_es.htm
- https://www.cdc.gov/pcd/issues/2012/11_0295_es.htm
- https://www.cdc.gov/pcd/issues/2013/12_0267_es.htm
- https://www.cdc.gov/pcd/issues/2012/11_0100_es.htm
- https://www.cdc.gov/index.html
- https://www.cdc.gov/pcd/issues/2012/11_0221_es.htm
- https://www.cdc.gov/pcd/issues/2012/12_0086_es.htm
- http://www.cdc.gov/nchs/nhds.htm
- https://www.cdc.gov/pcd/issues/2012/11_0332_es.htm
- https://www.cdc.gov/pcd/issues/2013/13_0049_es.htm
- https://www.cdc.gov/spanish/niosh
- https://www.cdc.gov/pcd/issues/2012/11_0138_es.htm
- https://www.cdc.gov/pcd/issues/2013/12_0186_es.htm
- https://www.cdc.gov/pcd/issues/2013/12_0324_es.htm
- https://www.cdc.gov/injury/wisqars
- https://www.cdc.gov/pcd/issues/2013/12_0299_es.htm
- https://www.cdc.gov/pcd/issues/2012/11_0219_es.htm
- https://www.cdc.gov/pcd/issues/2012/11_0287_es.htm
- http://www.cdc.gov/HealthyYouth/publications/pdf/PP-Ch9.pdf.
- https://www.cdc.gov/pcd/issues/2012/11_0063_es.htm
- https://www.cdc.gov/nchs/nhanes.htm
- https://www.cdc.gov/pcd/issues/2013/13_0090_es.htm
- https://www.cdc.gov/pcd/issues/2012/11_0166_es.htm

…and more — 37 pages total ([download CSV](csv/axe-core__skip-link.csv)).

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

### Suggested fix
**How to fix:** Ensure the skip link targets a real, focusable element (its href must match an existing id).

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

### Example pages
- https://www.cdc.gov/pcd/issues/2013/12_0322_es.htm
- https://www.cdc.gov/pcd/issues/2013/11_0285_es.htm
- https://www.cdc.gov/pcd/issues/2012/11_0277_es.htm

---

## scope attribute should be used correctly (WCAG criterion undetermined)

**Bug ID:** `VS-543897ef`  
**Pattern ID:** `VS-0ba8ce9d`  
**URL:** http://www.cdc.gov/acip/evidence-to-recommendations/bla-covid-19-moderna-etr.html  
**XPath / selector:** `td[scope="col"]`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `scope-attr-valid` ([reference](https://dequeuniversity.com/rules/axe/4.12/scope-attr-valid?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 96 instances; 9 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### HTML snippet
```html
<td scope="col">Vaccination with the Moderna COVID-19 vaccine was already highly acceptable to stakeholders under FDA EUA and ACIP interim recommendation, and vaccination may be more acceptable to sta
```

### Description
scope attribute should be used correctly. Detected by axe-core rule scope-attr-valid on 9 of 3333 scanned pages (96 instances).

### Steps to reproduce
1. Open http://www.cdc.gov/acip/evidence-to-recommendations/bla-covid-19-moderna-etr.html.
2. Locate the element: td[scope="col"]
3. Confirm the axe-core finding for rule scope-attr-valid.

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

### Affected pages
- http://www.cdc.gov/acip/evidence-to-recommendations/bla-covid-19-moderna-etr.html
- https://www.cdc.gov/pcd/issues/2016/16_0009.htm
- https://www.cdc.gov/mmwr/volumes/74/rr/rr7401a1_AppendixA.htm
- https://www.cdc.gov/pcd/issues/2016/15_0501.htm
- http://www.cdc.gov/tobacco/php/tobacco-control-programs/program-funding.html
- https://www.cdc.gov/fluview/surveillance/2026-week-06.html
- http://www.cdc.gov/hepatitis/php/surveillance-guidance/general-surveillance.html
- https://www.cdc.gov/fluview/surveillance/2026-week-04.html
- https://www.cdc.gov/pcd/issues/2016/16_0047.htm

### 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/scope-attr-valid?application=axeAPI

### Example pages
- http://www.cdc.gov/acip/evidence-to-recommendations/bla-covid-19-moderna-etr.html
- https://www.cdc.gov/pcd/issues/2016/16_0009.htm
- https://www.cdc.gov/mmwr/volumes/74/rr/rr7401a1_AppendixA.htm

---

## Contentinfo landmark should not be contained in another landmark (WCAG criterion undetermined)

**Bug ID:** `VS-e022a6ca`  
**Pattern ID:** `VS-424cced9`  
**URL:** https://www.cdc.gov/index.html  
**XPath / selector:** `.cdc-footer > footer`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-contentinfo-is-top-level` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-contentinfo-is-top-level?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 3 instances; 3 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (2 weeks)

### HTML snippet
```html
<footer>
```

### Description
Contentinfo landmark should not be contained in another landmark. Detected by axe-core rule landmark-contentinfo-is-top-level on 3 of 3333 scanned pages (3 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/index.html.
2. Locate the element: .cdc-footer > footer
3. Confirm the axe-core finding for rule landmark-contentinfo-is-top-level.

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

### Affected pages
- https://www.cdc.gov/index.html
- https://www.cdc.gov/spanish/niosh
- https://www.cdc.gov/Spanish

### 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/landmark-contentinfo-is-top-level?application=axeAPI

### Example pages
- https://www.cdc.gov/index.html
- https://www.cdc.gov/spanish/niosh
- https://www.cdc.gov/Spanish

---

## Document should not have more than one banner landmark (WCAG criterion undetermined)

**Bug ID:** `VS-de6859f0`  
**Pattern ID:** `VS-054101da`  
**URL:** https://www.cdc.gov/index.html  
**XPath / selector:** `.cdc-header`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-no-duplicate-banner` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-no-duplicate-banner?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 3 instances; 3 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (3 weeks)

### HTML snippet
```html
<header class="container cdc-header">
```

### Description
Document should not have more than one banner landmark. Detected by axe-core rule landmark-no-duplicate-banner on 3 of 3333 scanned pages (3 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/index.html.
2. Locate the element: .cdc-header
3. Confirm the axe-core finding for rule landmark-no-duplicate-banner.

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

### Affected pages
- https://www.cdc.gov/index.html
- https://www.cdc.gov/spanish/niosh
- https://www.cdc.gov/Spanish

### 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 only one banner landmark (<header> at the top level) per page.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-no-duplicate-banner?application=axeAPI

### Example pages
- https://www.cdc.gov/index.html
- https://www.cdc.gov/spanish/niosh
- https://www.cdc.gov/Spanish

---

## Document should not have more than one contentinfo landmark (WCAG criterion undetermined)

**Bug ID:** `VS-d7655021`  
**Pattern ID:** `VS-b465dfd7`  
**URL:** https://www.cdc.gov/index.html  
**XPath / selector:** `.cdc-footer`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-no-duplicate-contentinfo` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-no-duplicate-contentinfo?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 3 instances; 3 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (2 weeks)

### HTML snippet
```html
<footer class="container cdc-footer noindex" role="contentinfo">
```

### Description
Document should not have more than one contentinfo landmark. Detected by axe-core rule landmark-no-duplicate-contentinfo on 3 of 3333 scanned pages (3 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/index.html.
2. Locate the element: .cdc-footer
3. Confirm the axe-core finding for rule landmark-no-duplicate-contentinfo.

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

### Affected pages
- https://www.cdc.gov/index.html
- https://www.cdc.gov/spanish/niosh
- https://www.cdc.gov/Spanish

### 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 only one contentinfo landmark (<footer> at the top level) per page.

See remediation guidance: https://dequeuniversity.com/rules/axe/4.12/landmark-no-duplicate-contentinfo?application=axeAPI

### Example pages
- https://www.cdc.gov/index.html
- https://www.cdc.gov/spanish/niosh
- https://www.cdc.gov/Spanish

---

## ARIA role should be appropriate for the element (WCAG criterion undetermined)

**Bug ID:** `VS-58a2222c`  
**Pattern ID:** `VS-4fac2f41`  
**URL:** https://www.cdc.gov/spanish/niosh/docs/wp-solutions/2010-150_sp  
**XPath / selector:** `img[alt="2010-150sp"]`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `aria-allowed-role` ([reference](https://dequeuniversity.com/rules/axe/4.12/aria-allowed-role?application=axeAPI))  
**Severity:** Minor  
**Frequency:** 151 instances; 136 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### HTML snippet
```html
<img src="/niosh/media/images/2026/05/Soluciones-en-la-Obra.jpg" alt="2010-150sp" role="presentation">
```

### Description
ARIA role should be appropriate for the element. Detected by axe-core rule aria-allowed-role on 136 of 3333 scanned pages (151 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/spanish/niosh/docs/wp-solutions/2010-150_sp.
2. Locate the element: img[alt="2010-150sp"]
3. Confirm the axe-core finding for rule aria-allowed-role.

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

### Affected pages
- https://www.cdc.gov/spanish/niosh/docs/wp-solutions/2010-150_sp
- https://www.cdc.gov/niosh/docs/2012-162
- https://www.cdc.gov/niosh/docs/2010-125
- https://www.cdc.gov/niosh/docs/2005-145
- https://www.cdc.gov/niosh/docs/mining/works/coversheet90.html
- https://www.cdc.gov/niosh/docs/2017-100/default.html
- https://www.cdc.gov/niosh/docs/mining/works/coversheet522.html
- https://www.cdc.gov/spanish/niosh/docs/2011-200_sp
- https://www.cdc.gov/niosh/docs/2004-145/default.html
- https://www.cdc.gov/niosh/docs/2018-102
- https://www.cdc.gov/niosh/docs/81-130
- https://www.cdc.gov/niosh/publications/numbered/2013-153.html
- https://www.cdc.gov/niosh/docs/2013-100
- https://www.cdc.gov/niosh/docs/2022-104
- https://www.cdc.gov/vitalsigns/drowning/index.html
- https://www.cdc.gov/niosh/docs/2025-113
- https://www.cdc.gov/niosh/docs/2008-109
- https://www.cdc.gov/niosh/docs/2008-112
- https://www.cdc.gov/niosh/docs/2013-152
- https://www.cdc.gov/niosh/docs/2008-117
- https://www.cdc.gov/niosh/docs/mining/works/coversheet165.html
- https://www.cdc.gov/spanish/niosh/docs/2004-164_sp
- https://www.cdc.gov/niosh/docs/2019-120
- https://www.cdc.gov/spanish/niosh/docs/2011-174_sp
- https://www.cdc.gov/spanish/niosh/docs/2012-120_sp

…and more — 136 pages total ([download CSV](csv/axe-core__aria-allowed-role.csv)).

### 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 or change the ARIA role — it isn't allowed on this element type.

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

### Example pages
- https://www.cdc.gov/spanish/niosh/docs/wp-solutions/2010-150_sp
- https://www.cdc.gov/niosh/docs/2012-162
- https://www.cdc.gov/niosh/docs/2010-125

---

## Table header text should not be empty (WCAG criterion undetermined)

**Bug ID:** `VS-b0b99fcb`  
**Pattern ID:** `VS-d69fc059`  
**URL:** http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6019md.htm?s_cid=mm6019md_w  
**XPath / selector:** `.story:nth-child(43) > .data-table > tbody > tr:nth-child(2) > .col-head:nth-child(4)`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `empty-table-header` ([reference](https://dequeuniversity.com/rules/axe/4.12/empty-table-header?application=axeAPI))  
**Severity:** Minor  
**Frequency:** 282 instances; 62 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### HTML snippet
```html
<th class="col-head" scope="col" rowspan="2">
							</th>
```

### Description
Table header text should not be empty. Detected by axe-core rule empty-table-header on 62 of 3333 scanned pages (282 instances).

### Steps to reproduce
1. Open http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6019md.htm?s_cid=mm6019md_w.
2. Locate the element: .story:nth-child(43) > .data-table > tbody > tr:nth-child(2) > .col-head:nth-child(4)
3. Confirm the axe-core finding for rule empty-table-header.

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

### Affected pages
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6019md.htm?s_cid=mm6019md_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6013md.htm?s_cid=mm6013md_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6007a2.htm?s_cid=mm6007a2_w
- https://www.cdc.gov/pcd/issues/2004/jan/03_00010a.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5906md.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5919a2.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6127md.htm?s_cid=mm6127md_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6011md.htm?s_cid=mm6011md_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6008md.htm?s_cid=mm6008md_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6020a5.htm?s_cid=mm6020a5_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6006a1.htm?s_cid=mm6006a1_w
- https://www.cdc.gov/pcd/issues/2013/12_0097.htm
- https://www.cdc.gov/niosh/idlh/64197.html
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5928md.htm?s_cid=mm5928md_w
- http://www.cdc.gov/pcd/issues/2008/oct/07_0156.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5903a1.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5911a1_ensp.htm
- http://www.cdc.gov/hepatitis/php/npr-2024/index.html
- http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5908a1.htm
- https://www.cdc.gov/nchs/nsfg/key_statistics/e.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5933md.htm?s_cid=mm5933md_w
- https://www.cdc.gov/pcd/issues/2019/19_0118.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5917a3.htm
- http://www.cdc.gov/hepatitis/php/npr-2025/index.html
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5923a3.htm?s_cid=mm5923a3_w

…and more — 62 pages total ([download CSV](csv/axe-core__empty-table-header.csv)).

### 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/empty-table-header?application=axeAPI

### Example pages
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6019md.htm?s_cid=mm6019md_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6013md.htm?s_cid=mm6013md_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6007a2.htm?s_cid=mm6007a2_w

---

## Headings should not be empty (WCAG criterion undetermined)

**Bug ID:** `VS-4f555963`  
**Pattern ID:** `VS-0066c67d`  
**URL:** https://www.cdc.gov/niosh/idlh/default.html  
**XPath / selector:** `h3:nth-child(2)`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `empty-heading` ([reference](https://dequeuniversity.com/rules/axe/4.12/empty-heading?application=axeAPI))  
**Severity:** Minor  
**Frequency:** 26 instances; 26 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### HTML snippet
```html
<h3></h3>
```

### Description
Headings should not be empty. Detected by axe-core rule empty-heading on 26 of 3333 scanned pages (26 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/niosh/idlh/default.html.
2. Locate the element: h3:nth-child(2)
3. Confirm the axe-core finding for rule empty-heading.

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

### Affected pages
- https://www.cdc.gov/niosh/idlh/default.html
- https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5705a1.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5518a1.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5312a2.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5544a4.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5126a1.htm
- https://www.cdc.gov/mmwr/volumes/74/wr/mm7401a1.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5405a1.htm
- https://www.cdc.gov/nchs/nsfg/nsfg_2015_2017_puf.htm
- https://www.cdc.gov/nchs/nsfg/key_statistics/L.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5538a3.htm
- https://www.cdc.gov/lead-prevention/communication-resources/index.html
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5515a6.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5402a1.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5610a6.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5548a4.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5716a6.htm
- https://www.cdc.gov/niosh/idlh/idlhabb3.html
- http://www.cdc.gov/pcd/call_for_papers/ai.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5327a2.htm
- https://www.cdc.gov/nchs/nsfg/key_statistics/i.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5604a1.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5516a1.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5640a1.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5640a5.htm

…and more — 26 pages total ([download CSV](csv/axe-core__empty-heading.csv)).

### 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

### Example pages
- https://www.cdc.gov/niosh/idlh/default.html
- https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5705a1.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5518a1.htm

---

## Alternative text of images should not be repeated as text (WCAG criterion undetermined)

**Bug ID:** `VS-8d485eda`  
**Pattern ID:** `VS-f528778d`  
**URL:** https://www.cdc.gov/spanish/niosh  
**XPath / selector:** `.menu-container > .navbar.navbar-expand-lg > .container > .cdc-logo.navbar-brand[href$="spanish/"] > .cdc-logo--img`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `image-redundant-alt` ([reference](https://dequeuniversity.com/rules/axe/4.12/image-redundant-alt?application=axeAPI))  
**Severity:** Minor  
**Frequency:** 13 instances; 5 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### HTML snippet
```html
<img src="/TemplatePackage/5.0/img/logo/logo-notext.svg" alt="Centros para el Control y la Prevención de Enfermedades" class="cdc-logo--img">
```

### Description
Alternative text of images should not be repeated as text. Detected by axe-core rule image-redundant-alt on 5 of 3333 scanned pages (13 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/spanish/niosh.
2. Locate the element: .menu-container > .navbar.navbar-expand-lg > .container > .cdc-logo.navbar-brand[href$="spanish/"] > .cdc-logo--img
3. Confirm the axe-core finding for rule image-redundant-alt.

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

### Affected pages
- https://www.cdc.gov/spanish/niosh
- https://www.cdc.gov/injury/wisqars
- https://www.cdc.gov/ARDI
- https://www.cdc.gov/Spanish
- https://www.cdc.gov/spanish/niosh/hhe/hhe-info.html

### 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/image-redundant-alt?application=axeAPI

### Example pages
- https://www.cdc.gov/spanish/niosh
- https://www.cdc.gov/injury/wisqars
- https://www.cdc.gov/ARDI

---

## Tables should not have the same summary and caption (WCAG criterion undetermined)

**Bug ID:** `VS-d16d7adc`  
**Pattern ID:** `VS-234b2c77`  
**URL:** https://www.cdc.gov/brfss/annual_data/2023/llcp_varlayout_23_onecolumn.html  
**XPath / selector:** `table`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `table-duplicate-name` ([reference](https://dequeuniversity.com/rules/axe/4.12/table-duplicate-name?application=axeAPI))  
**Severity:** Minor  
**Frequency:** 1 instances; 1 of 3333 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W29 (3 weeks)

### HTML snippet
```html
<table class="table table-striped bg-gray-l2" border="1" summary="Procedure Report: Detailed and/or summarized report" frame="void" rules="none" cellspacing="0" cellpadding="0">
```

### Description
Tables should not have the same summary and caption. Detected by axe-core rule table-duplicate-name on 1 of 3333 scanned pages (1 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/brfss/annual_data/2023/llcp_varlayout_23_onecolumn.html.
2. Locate the element: table
3. Confirm the axe-core finding for rule table-duplicate-name.

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

### Affected pages
- https://www.cdc.gov/brfss/annual_data/2023/llcp_varlayout_23_onecolumn.html

### 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/table-duplicate-name?application=axeAPI

---

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

**Bug ID:** `VS-c8ad3454`  
**Pattern ID:** `VS-c18be945`  
**URL:** https://www.cdc.gov/clean-hands/hcp/clinical-safety  
**XPath / selector:** `text: "Skip directly to search"`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r57` ([reference](https://alfa.siteimprove.com/rules/sia-r57))  
**Severity:** Moderate  
**Frequency:** 15960 instances; 1092 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### Description
Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 1092 of 3333 scanned pages (15960 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/clean-hands/hcp/clinical-safety.
2. Locate the element: text: "Skip directly to search"
3. Confirm the Siteimprove Alfa finding for rule sia-r57.

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

### Affected pages
- https://www.cdc.gov/clean-hands/hcp/clinical-safety
- https://www.cdc.gov/listeria/outbreaks/meat-and-poultry-products-11-24/index.html
- https://www.cdc.gov/high-blood-pressure/risk-factors/index.html
- https://www.cdc.gov/niosh/docs/2012-162
- https://www.cdc.gov/natural-disasters/communication-resources/feeling-stressed-after-the-hurricanes-billboard.html
- https://www.cdc.gov/niosh/docs/2010-125
- https://www.cdc.gov/immigrant-refugee-health/hcp/domestic-guidance/mental-health.html
- https://www.cdc.gov/mold-health/communication-resources/shopping-list-for-cleaning-mold.html
- https://www.cdc.gov/niosh/docs/2005-145
- https://www.cdc.gov/nchs/hus/contents2019.htm?search=%2CState
- https://www.cdc.gov/botulism/outbreaks-investigations/index.html
- https://www.cdc.gov/global-health-protection/php/stories-from-the-field/el-salvador-improves-outbreak-response-by-measuring-what-matters.html
- https://www.cdc.gov/mmwr/volumes/65/wr/mm6552a11.htm?s_cid=mm6552a11_w
- https://www.cdc.gov/mmwr/volumes/69/wr/mm6944a4.htm?s_cid=mm6944a4_w
- https://www.cdc.gov/niosh/docs/mining/works/coversheet90.html
- https://www.cdc.gov/mmwr/volumes/65/wr/mm6543a6.htm?s_cid=mm6543a6_w
- https://www.cdc.gov/niosh/motor-vehicle/distracted-driving/index.html
- http://www.cdc.gov/heart-disease/about/index.html
- https://www.cdc.gov/mycoplasma/php/surveillance/index.html
- http://www.cdc.gov/hepatitis/php/npr-2024/overview.html
- https://www.cdc.gov/hearing-loss-children/es/screening/pruebas-de-deteccion-de-perdida-auditiva.html
- https://www.cdc.gov/data-interoperability/php/mdn
- https://www.cdc.gov/balantidium/site.html
- https://www.cdc.gov/tourette-syndrome
- https://www.cdc.gov/united-states-cancer-statistics/publications/prostate-cancer-stat-bite.html

…and more — 1092 pages total ([download CSV](csv/alfa__sia-r57.csv)).

### 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://www.cdc.gov/clean-hands/hcp/clinical-safety
- https://www.cdc.gov/listeria/outbreaks/meat-and-poultry-products-11-24/index.html
- https://www.cdc.gov/high-blood-pressure/risk-factors/index.html

---

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

**Bug ID:** `VS-52cf09da`  
**Pattern ID:** `VS-e05344b9`  
**URL:** https://www.cdc.gov/clean-hands/hcp/clinical-safety  
**XPath / selector:** `@aria-label="Official website of the United States government"`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r18` ([reference](https://alfa.siteimprove.com/rules/sia-r18))  
**Severity:** Moderate  
**Frequency:** 796 instances; 777 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### Description
aria attribute is permitted for element role. Detected by Siteimprove Alfa rule sia-r18 on 777 of 3333 scanned pages (796 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/clean-hands/hcp/clinical-safety.
2. Locate the element: @aria-label="Official website of the United States government"
3. Confirm the Siteimprove Alfa finding for rule sia-r18.

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

### Affected pages
- https://www.cdc.gov/clean-hands/hcp/clinical-safety
- https://www.cdc.gov/listeria/outbreaks/meat-and-poultry-products-11-24/index.html
- https://www.cdc.gov/high-blood-pressure/risk-factors/index.html
- https://www.cdc.gov/niosh/docs/2012-162
- https://www.cdc.gov/natural-disasters/communication-resources/feeling-stressed-after-the-hurricanes-billboard.html
- https://www.cdc.gov/niosh/docs/2010-125
- https://www.cdc.gov/immigrant-refugee-health/hcp/domestic-guidance/mental-health.html
- https://www.cdc.gov/mold-health/communication-resources/shopping-list-for-cleaning-mold.html
- https://www.cdc.gov/niosh/docs/2005-145
- https://www.cdc.gov/botulism/outbreaks-investigations/index.html
- https://www.cdc.gov/global-health-protection/php/stories-from-the-field/el-salvador-improves-outbreak-response-by-measuring-what-matters.html
- https://www.cdc.gov/niosh/docs/mining/works/coversheet90.html
- https://www.cdc.gov/niosh/motor-vehicle/distracted-driving/index.html
- http://www.cdc.gov/heart-disease/about/index.html
- https://www.cdc.gov/mycoplasma/php/surveillance/index.html
- http://www.cdc.gov/hepatitis/php/npr-2024/overview.html
- https://www.cdc.gov/hearing-loss-children/es/screening/pruebas-de-deteccion-de-perdida-auditiva.html
- https://www.cdc.gov/data-interoperability/php/mdn
- https://www.cdc.gov/balantidium/site.html
- https://www.cdc.gov/tourette-syndrome
- https://www.cdc.gov/united-states-cancer-statistics/publications/prostate-cancer-stat-bite.html
- https://www.cdc.gov/heartland-virus/about/index.html
- https://www.cdc.gov/lung-cancer/screening/index.html
- https://www.cdc.gov/niosh/docs/2017-100/default.html
- https://www.cdc.gov/suicide/playbook/step-5.html

…and more — 777 pages total ([download CSV](csv/alfa__sia-r18.csv)).

### 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://www.cdc.gov/clean-hands/hcp/clinical-safety
- https://www.cdc.gov/listeria/outbreaks/meat-and-poultry-products-11-24/index.html
- https://www.cdc.gov/high-blood-pressure/risk-factors/index.html

---

## Headings are structured hierarchically (WCAG criterion undetermined)

**Bug ID:** `VS-133cc720`  
**Pattern ID:** `VS-f054f4a4`  
**URL:** https://www.cdc.gov/clean-hands/hcp/clinical-safety  
**XPath / selector:** `<h4>`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r53` ([reference](https://alfa.siteimprove.com/rules/sia-r53))  
**Severity:** Moderate  
**Frequency:** 713 instances; 490 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### Description
Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 490 of 3333 scanned pages (713 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/clean-hands/hcp/clinical-safety.
2. Locate the element: <h4>
3. Confirm the Siteimprove Alfa finding for rule sia-r53.

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

### Affected pages
- https://www.cdc.gov/clean-hands/hcp/clinical-safety
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5510a3.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00039349.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00056485.htm
- https://www.cdc.gov/pcd/issues/2009/jan/07_0240.htm
- http://www.cdc.gov/pcd/issues/2009/jan/08_0009_fr.htm
- https://www.cdc.gov/mmwr/volumes/65/wr/mm6552a11.htm?s_cid=mm6552a11_w
- https://www.cdc.gov/mmwr/volumes/69/wr/mm6944a4.htm?s_cid=mm6944a4_w
- https://www.cdc.gov/mmwr/volumes/65/wr/mm6543a6.htm?s_cid=mm6543a6_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00001287.htm
- https://www.cdc.gov/mmwr/volumes/72/wr/mm7204a1.htm?s_cid=mm7204a1_w
- http://www.cdc.gov/pcd/issues/2010/sep/10_0046.htm
- https://www.cdc.gov/pcd/issues/2020/20_0076.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/su5502a2.htm
- https://www.cdc.gov/nchs/products/databriefs/db360.htm
- https://www.cdc.gov/mmwr/volumes/71/wr/mm7122a2.htm?s_cid=mm7122a2_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00045972.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00000621.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5644a6.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00000258.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5521a3.htm
- https://www.cdc.gov/mmwr/volumes/69/wr/mm6937a1.htm?s_cid=mm6937a1_w
- https://www.cdc.gov/niosh/learning/safetyculturehc/module-5/13.html
- http://www.cdc.gov/tobacco/campaign/tips/partners/hud/index.html
- https://www.cdc.gov/mmwr/preview/mmwrhtml/ss4907a1.htm

…and more — 490 pages total ([download CSV](csv/alfa__sia-r53.csv)).

### 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://www.cdc.gov/clean-hands/hcp/clinical-safety
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5510a3.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00039349.htm

---

## No obsolete or deprecated elements are used (WCAG criterion undetermined)

**Bug ID:** `VS-8b13be51`  
**Pattern ID:** `VS-3d033717`  
**URL:** https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5510a3.htm  
**XPath / selector:** `{"type":"document","children":[{"type":"element","children":[{"type":"element","`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r70` ([reference](https://alfa.siteimprove.com/rules/sia-r70))  
**Severity:** Moderate  
**Frequency:** 386 instances; 386 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### Description
No obsolete or deprecated elements are used. Detected by Siteimprove Alfa rule sia-r70 on 386 of 3333 scanned pages (386 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5510a3.htm.
2. Locate the element: {"type":"document","children":[{"type":"element","children":[{"type":"element","
3. Confirm the Siteimprove Alfa finding for rule sia-r70.

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

### Affected pages
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5510a3.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00039349.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6006a6.htm?s_cid=mm6006a6_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00056485.htm
- https://www.cdc.gov/pcd/issues/2009/jan/07_0240.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6417a5.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6005a5.htm?s_cid=mm6005a5_w
- http://www.cdc.gov/pcd/issues/2009/jan/08_0009_fr.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6142a1.htm?s_cid=mm6142a1_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6019md.htm?s_cid=mm6019md_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00001287.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6013md.htm?s_cid=mm6013md_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6004a9.htm?s_cid=mm6004a9_w
- http://www.cdc.gov/pcd/issues/2010/sep/10_0046.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/su5502a2.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00045972.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6007a2.htm?s_cid=mm6007a2_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00016673.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00000621.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5644a6.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00000258.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5521a3.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6145a1.htm?s_cid=mm6145a1_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6041a2.htm?s_cid=mm6041a2_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/ss4907a1.htm

…and more — 386 pages total ([download CSV](csv/alfa__sia-r70.csv)).

### 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-r70

### Example pages
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5510a3.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00039349.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6006a6.htm?s_cid=mm6006a6_w

---

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

**Bug ID:** `VS-22d1b890`  
**Pattern ID:** `VS-7118fead`  
**URL:** http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6006a6.htm?s_cid=mm6006a6_w  
**XPath / selector:** `{"type":"document","children":[{"type":"type","name":"html","publicId":"-//W3C//`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r61` ([reference](https://alfa.siteimprove.com/rules/sia-r61))  
**Severity:** Moderate  
**Frequency:** 181 instances; 181 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### Description
Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 181 of 3333 scanned pages (181 instances).

### Steps to reproduce
1. Open http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6006a6.htm?s_cid=mm6006a6_w.
2. Locate the element: {"type":"document","children":[{"type":"type","name":"html","publicId":"-//W3C//
3. Confirm the Siteimprove Alfa finding for rule sia-r61.

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

### Affected pages
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6006a6.htm?s_cid=mm6006a6_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6417a5.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6005a5.htm?s_cid=mm6005a5_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6142a1.htm?s_cid=mm6142a1_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6019md.htm?s_cid=mm6019md_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6013md.htm?s_cid=mm6013md_w
- https://www.cdc.gov/balantidium/site.html
- https://www.cdc.gov/tourette-syndrome
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6004a9.htm?s_cid=mm6004a9_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6007a2.htm?s_cid=mm6007a2_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6145a1.htm?s_cid=mm6145a1_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6041a2.htm?s_cid=mm6041a2_w
- https://www.cdc.gov/os/index.html
- https://www.cdc.gov/pcd/issues/2012/11_0277_es.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5919a6.htm
- https://www.cdc.gov/pcd/issues/2012/11_0295_es.htm
- https://www.cdc.gov/vaccines/acip/members/bios.html
- http://www.cdc.gov/antibiotic-use/site.html
- https://www.cdc.gov/mmwr/preview/mmwrhtml/su6004a9.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5906md.htm
- https://www.cdc.gov/vaccines/hcp/index.html
- http://www.cdc.gov/yrbs
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5919a2.htm
- https://www.cdc.gov/vaccines/acip/recs/grade/mening-MenACWY-TT-MenB-FHbp-etr.html
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6051a6.htm?s_cid=mm6051a6_w

…and more — 181 pages total ([download CSV](csv/alfa__sia-r61.csv)).

### 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
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6006a6.htm?s_cid=mm6006a6_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6417a5.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6005a5.htm?s_cid=mm6005a5_w

---

## Table header has scope (WCAG criterion undetermined)

**Bug ID:** `VS-5ec09024`  
**Pattern ID:** `VS-2cd767ca`  
**URL:** https://www.cdc.gov/mmwr/volumes/65/wr/mm6552a11.htm?s_cid=mm6552a11_w  
**XPath / selector:** `<h5>`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r78` ([reference](https://alfa.siteimprove.com/rules/sia-r78))  
**Severity:** Moderate  
**Frequency:** 137 instances; 105 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### Description
Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 105 of 3333 scanned pages (137 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/mmwr/volumes/65/wr/mm6552a11.htm?s_cid=mm6552a11_w.
2. Locate the element: <h5>
3. Confirm the Siteimprove Alfa finding for rule sia-r78.

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

### Affected pages
- https://www.cdc.gov/mmwr/volumes/65/wr/mm6552a11.htm?s_cid=mm6552a11_w
- https://www.cdc.gov/mmwr/volumes/65/wr/mm6543a6.htm?s_cid=mm6543a6_w
- https://www.cdc.gov/candida-auris/hcp/infection-control/index.html
- https://www.cdc.gov/mmwr/volumes/69/wr/mm6937a1.htm?s_cid=mm6937a1_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/ss4907a1.htm
- https://www.cdc.gov/hepatitis/about/index.html
- https://www.cdc.gov/pcd/issues/2012/11_0277_es.htm
- https://www.cdc.gov/healthy-pets/about/backyard-poultry.html
- https://www.cdc.gov/pcd/issues/2012/11_0295_es.htm
- https://www.cdc.gov/yellow-book/hcp/travel-associated-infections-diseases/tick-borne-encephalitis.html
- http://www.cdc.gov/chikungunya/hcp/vaccines/index.html
- https://www.cdc.gov/laboratory/specimen-submission/detail.html?CDCTestCode=CDC-10166
- https://www.cdc.gov/injury-icrc/es/site.html
- https://www.cdc.gov/injury-violence-prevention/site.html
- https://www.cdc.gov/mmwr/volumes/69/wr/mm6938a6.htm?s_cid=mm6938a6_w
- https://www.cdc.gov/pcd/issues/2012/11_0100_es.htm
- https://www.cdc.gov/mmwr/volumes/65/wr/mm6530a3.htm?s_cid=mm6530a3_w
- https://www.cdc.gov/niosh/docket/archive/docket001.html
- https://www.cdc.gov/healthy-swimming/prevention/index.html
- http://www.cdc.gov/mmwr/volumes/72/wr/mm7203a6.htm?s_cid=mm7203a6_w
- https://www.cdc.gov/niosh/docket/archive/docket291.html
- https://www.cdc.gov/niosh/docs/2017-188/default.html
- https://www.cdc.gov/niosh/docket/archive/docket159.html
- https://www.cdc.gov/mmwr/volumes/66/ss/ss6601a1.htm
- https://www.cdc.gov/niosh/docket/archive/docket134.html

…and more — 105 pages total ([download CSV](csv/alfa__sia-r78.csv)).

### 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

### Example pages
- https://www.cdc.gov/mmwr/volumes/65/wr/mm6552a11.htm?s_cid=mm6552a11_w
- https://www.cdc.gov/mmwr/volumes/65/wr/mm6543a6.htm?s_cid=mm6543a6_w
- https://www.cdc.gov/candida-auris/hcp/infection-control/index.html

---

## Presentational attribute (use CSS) (WCAG criterion undetermined)

**Bug ID:** `VS-543ab1be`  
**Pattern ID:** `VS-04a9d28c`  
**URL:** https://www.cdc.gov/pcd/issues/2013/12_0322_es.htm  
**XPath / selector:** `img`  
**WCAG SC:** _undetermined_  
**Rule:** deprecated-html — `presentational-attr`  
**Severity:** Moderate  
**Frequency:** 12958 instances; 96 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### HTML snippet
```html
<img src="/TemplatePackage/images/icon_out.png" alt="Ícono de enlaces externos" align="left" width="12" height="12">
```

### Description
Presentational attribute (use CSS). Detected by deprecated-html rule presentational-attr on 96 of 3333 scanned pages (12958 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/pcd/issues/2013/12_0322_es.htm.
2. Locate the element: img
3. Confirm the deprecated-html finding for rule presentational-attr.

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

### Affected pages
- https://www.cdc.gov/pcd/issues/2013/12_0322_es.htm
- https://www.cdc.gov/nchs/hus/contents2019.htm?search=%2CState
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00001186.htm
- https://www.cdc.gov/pcd/issues/2020/19_0213.htm
- https://www.cdc.gov/pcd/issues/2004/jan/03_00010a.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5704md.htm
- https://www.cdc.gov/pcd/es/2010_may_toc.htm
- http://www.cdc.gov/mmwr/volumes/72/wr/mm7226a2.htm?s_cid=mm7226a2_w
- https://www.cdc.gov/mmwr/volumes/72/wr/mm7228a4.htm?s_cid=mm7228a4_w
- http://www.cdc.gov/pcd/issues/2009/jan/08_0026_zhs.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00000300.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00001141.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00001375.htm
- https://www.cdc.gov/pcd/issues/2004/jan/03_0011.htm
- https://www.cdc.gov/mmwr/volumes/73/wr/mm7302a2.htm?s_cid=mm7302a2_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5751a2.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00000023.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm4830a6.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5312a2.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00000529.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/su5501a2.htm
- https://www.cdc.gov/pcd/issues/2022/21_0315.htm
- http://www.cdc.gov/pcd/issues/2008/oct/07_0156.htm
- http://www.cdc.gov/pcd/issues/2008/oct/08_0060.htm
- https://www.cdc.gov/pcd/issues/2020/19_0254.htm

…and more — 96 pages total ([download CSV](csv/deprecated-html__presentational-attr.csv)).

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

### Suggested fix
Not captured by automated scan — requires manual testing.

### Example pages
- https://www.cdc.gov/pcd/issues/2013/12_0322_es.htm
- https://www.cdc.gov/nchs/hus/contents2019.htm?search=%2CState
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00001186.htm

---

## Obsolete <font> element (use CSS) (WCAG criterion undetermined)

**Bug ID:** `VS-8b9f384e`  
**Pattern ID:** `VS-91d2294a`  
**URL:** https://www.cdc.gov/mmwr/preview/mmwrhtml/00001186.htm  
**XPath / selector:** `font`  
**WCAG SC:** _undetermined_  
**Rule:** deprecated-html — `font-element`  
**Severity:** Moderate  
**Frequency:** 531 instances; 67 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### HTML snippet
```html
<font size="3" face="Arial, Helvetica, Verdana" color="#FFFFFF"><i><b>Weekly</b></i></font>
```

### Description
Obsolete <font> element (use CSS). Detected by deprecated-html rule font-element on 67 of 3333 scanned pages (531 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/mmwr/preview/mmwrhtml/00001186.htm.
2. Locate the element: font
3. Confirm the deprecated-html finding for rule font-element.

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

### Affected pages
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00001186.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5704md.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00000300.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6112a6.htm?s_cid=mm6112a6_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00001141.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00001375.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6036a3.htm?s_cid=mm6036a3_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5751a2.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00000023.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm4830a6.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5312a2.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6021a2.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00000529.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6040a7.htm?s_cid=mm6040a7_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/su5501a2.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00001941.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5726a4.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5811a2.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00000440.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5720a2.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00032515.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00031480.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00019835.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5208a1.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00000028.htm

…and more — 67 pages total ([download CSV](csv/deprecated-html__font-element.csv)).

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

### Suggested fix
Not captured by automated scan — requires manual testing.

### Example pages
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00001186.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5704md.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00000300.htm

---

## Obsolete <big> element (use CSS) (WCAG criterion undetermined)

**Bug ID:** `VS-4cde3dee`  
**Pattern ID:** `VS-7845739d`  
**URL:** https://www.cdc.gov/mmwr/preview/mmwrhtml/00001186.htm  
**XPath / selector:** `big`  
**WCAG SC:** _undetermined_  
**Rule:** deprecated-html — `big-element`  
**Severity:** Moderate  
**Frequency:** 88 instances; 44 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### HTML snippet
```html
<big><strong>Disclaimer</strong></big>
```

### Description
Obsolete <big> element (use CSS). Detected by deprecated-html rule big-element on 44 of 3333 scanned pages (88 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/mmwr/preview/mmwrhtml/00001186.htm.
2. Locate the element: big
3. Confirm the deprecated-html finding for rule big-element.

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

### Affected pages
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00001186.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5704md.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00000300.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00001141.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00001375.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00000023.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm4830a6.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5312a2.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00000529.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/su5501a2.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00001941.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00000440.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00032515.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00031480.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00019835.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5208a1.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00000028.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00020991.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00000777.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5515a6.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5610a6.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00000372.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5639a4.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5536a6.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00001133.htm

…and more — 44 pages total ([download CSV](csv/deprecated-html__big-element.csv)).

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

### Suggested fix
Not captured by automated scan — requires manual testing.

### Example pages
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00001186.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5704md.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00000300.htm

---

## Input purpose can be determined (WCAG criterion undetermined)

**Bug ID:** `VS-9e12e027`  
**Pattern ID:** `VS-3fb891c5`  
**URL:** https://www.cdc.gov/pcd/issues/2012/11_0277_es.htm  
**XPath / selector:** `<fieldset>`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r60` ([reference](https://alfa.siteimprove.com/rules/sia-r60))  
**Severity:** Moderate  
**Frequency:** 25 instances; 22 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### Description
Input purpose can be determined. Detected by Siteimprove Alfa rule sia-r60 on 22 of 3333 scanned pages (25 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/pcd/issues/2012/11_0277_es.htm.
2. Locate the element: <fieldset>
3. Confirm the Siteimprove Alfa finding for rule sia-r60.

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

### Affected pages
- https://www.cdc.gov/pcd/issues/2012/11_0277_es.htm
- https://www.cdc.gov/pcd/issues/2012/11_0295_es.htm
- https://www.cdc.gov/mmwr/indss_2008.html
- https://www.cdc.gov/pcd/issues/2012/11_0100_es.htm
- http://www.cdc.gov/mmwr/preview/index84.html
- http://www.cdc.gov/mmwr/index2011.html
- https://www.cdc.gov/pcd/issues/2013/2013_TOC.htm
- https://www.cdc.gov/drugresistance/intl-activities/laarc.html
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5916a5.htm
- https://www.cdc.gov/pcd/issues/2013/12_0349.htm
- http://www.cdc.gov/nchs/nvss/vsrr/infant-mortality-dashboard.htm
- https://www.cdc.gov/pcd/issues/2013/12_0324_es.htm
- https://www.cdc.gov/pcd/issues/2012/11_0063_es.htm
- http://www.cdc.gov/mmwr/indss_2010.html
- https://www.cdc.gov/dialysis-safety/making-dialysis-safer-coalition/index.html
- https://www.cdc.gov/pcd/issues/2012/11_0166_es.htm
- https://www.cdc.gov/pcd/issues/2013/12_0283_es.htm
- https://www.cdc.gov/pcd/issues/2013/12_0335_es.htm
- https://www.cdc.gov/pcd/issues/2012/11_0313_es.htm
- https://www.cdc.gov/pcd/issues/2013/13_0019_es.htm
- https://www.cdc.gov/pcd/issues/2013/12_0294_es.htm
- https://www.cdc.gov/pcd/issues/2013/12_0231.htm

### 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-r60

### Example pages
- https://www.cdc.gov/pcd/issues/2012/11_0277_es.htm
- https://www.cdc.gov/pcd/issues/2012/11_0295_es.htm
- https://www.cdc.gov/mmwr/indss_2008.html

---

## Duplicate role landmark is labeled (WCAG criterion undetermined)

**Bug ID:** `VS-582ae4ec`  
**Pattern ID:** `VS-f2542d87`  
**URL:** http://www.cdc.gov/mmwr/preview/mmwrhtml/00056485.htm  
**XPath / selector:** `<pre>`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r79` ([reference](https://alfa.siteimprove.com/rules/sia-r79))  
**Severity:** Moderate  
**Frequency:** 79 instances; 19 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### Description
Duplicate role landmark is labeled. Detected by Siteimprove Alfa rule sia-r79 on 19 of 3333 scanned pages (79 instances).

### Steps to reproduce
1. Open http://www.cdc.gov/mmwr/preview/mmwrhtml/00056485.htm.
2. Locate the element: <pre>
3. Confirm the Siteimprove Alfa finding for rule sia-r79.

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

### Affected pages
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00056485.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm4824a2.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00038946.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00024937.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm4823md.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00056305.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00049321.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00021805.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00033248.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm4825a2.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00056592.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00032138.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00047906.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm4836a3.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00023655.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm4839md.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00043812.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00046181.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00032772.htm

### 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-r79

### Example pages
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00056485.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm4824a2.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00038946.htm

---

## Obsolete <center> element (use CSS) (WCAG criterion undetermined)

**Bug ID:** `VS-d91c1754`  
**Pattern ID:** `VS-20060f39`  
**URL:** https://www.cdc.gov/pcd/issues/2004/jan/03_00010a.htm  
**XPath / selector:** `center`  
**WCAG SC:** _undetermined_  
**Rule:** deprecated-html — `center-element`  
**Severity:** Moderate  
**Frequency:** 30 instances; 14 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### HTML snippet
```html
<center>
  <table border="0" width="140" cellspacing="0" cellpadding="0">
    
    <tbody><tr>
      <td width="140" bgcolor="#8A9683"><img border="0" src="www.cdc.gov/navimages/spacer.gif" width="140
```

### Description
Obsolete <center> element (use CSS). Detected by deprecated-html rule center-element on 14 of 3333 scanned pages (30 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/pcd/issues/2004/jan/03_00010a.htm.
2. Locate the element: center
3. Confirm the deprecated-html finding for rule center-element.

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

### Affected pages
- https://www.cdc.gov/pcd/issues/2004/jan/03_00010a.htm
- https://www.cdc.gov/pcd/es/2010_may_toc.htm
- http://www.cdc.gov/pcd/issues/2009/jan/08_0026_zhs.htm
- https://www.cdc.gov/pcd/issues/2004/jan/03_0011.htm
- http://www.cdc.gov/pcd/issues/2008/oct/07_0156.htm
- http://www.cdc.gov/pcd/issues/2008/oct/08_0060.htm
- https://www.cdc.gov/pcd/issues/2007/apr/06_0095_es.htm
- https://www.cdc.gov/pcd/es/2006_jan_toc.htm
- https://www.cdc.gov/pcd/issues/2009/jan/08_0220.htm
- https://www.cdc.gov/pcd/issues/2008/jan/07_0150_es.htm
- http://www.cdc.gov/pcd/issues/2009/apr/08_0204.htm
- https://www.cdc.gov/pcd/issues/2006/oct/06_0012_fr.htm
- http://www.cdc.gov/pcd/issues/2010/sep/10_0024_es.htm
- http://www.cdc.gov/pcd/issues/2005/jan/04_0082.htm

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

### Suggested fix
Not captured by automated scan — requires manual testing.

### Example pages
- https://www.cdc.gov/pcd/issues/2004/jan/03_00010a.htm
- https://www.cdc.gov/pcd/es/2010_may_toc.htm
- http://www.cdc.gov/pcd/issues/2009/jan/08_0026_zhs.htm

---

## Assertive live region is marked as atomic (WCAG criterion undetermined)

**Bug ID:** `VS-2e8fc3db`  
**Pattern ID:** `VS-c461a167`  
**URL:** https://www.cdc.gov/united-states-cancer-statistics/publications/prostate-cancer-stat-bite.html  
**XPath / selector:** `<table class="table table-striped table-width-unset data-table" aria-live="assertive" aria-rowcount="1">`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r54` ([reference](https://alfa.siteimprove.com/rules/sia-r54))  
**Severity:** Moderate  
**Frequency:** 14 instances; 10 of 3333 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W29 (5 weeks)

### Description
Assertive live region is marked as atomic. Detected by Siteimprove Alfa rule sia-r54 on 10 of 3333 scanned pages (14 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/united-states-cancer-statistics/publications/prostate-cancer-stat-bite.html.
2. Locate the element: <table class="table table-striped table-width-unset data-table" aria-live="assertive" aria-rowcount="1">
3. Confirm the Siteimprove Alfa finding for rule sia-r54.

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

### Affected pages
- https://www.cdc.gov/united-states-cancer-statistics/publications/prostate-cancer-stat-bite.html
- https://www.cdc.gov/united-states-cancer-statistics/publications/colorectal-cancer-stat-bite.html
- https://www.cdc.gov/hearing-loss-children/data/demographic-data.html
- http://www.cdc.gov/nchs/nvss/vsrr/infant-mortality-dashboard.htm
- http://www.cdc.gov/hepatitis/php/npr-2024/hep-b-reduce-deaths-api.html
- http://www.cdc.gov/hepatitis/php/npr-2025/hep-c-reduce-infections.html
- https://www.cdc.gov/hepatitis/php/npr-2024/hep-b-reduce-infections-pwid.html
- http://www.cdc.gov/hepatitis/php/npr-2024/hep-a-reduce-infections.html
- https://www.cdc.gov/vaccine-safety-systems/hcp/cisa/index.html
- https://www.cdc.gov/hepatitis/php/npr-2024/hep-c-reduce-deaths.html

### 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-r54

### Example pages
- https://www.cdc.gov/united-states-cancer-statistics/publications/prostate-cancer-stat-bite.html
- https://www.cdc.gov/united-states-cancer-statistics/publications/colorectal-cancer-stat-bite.html
- https://www.cdc.gov/hearing-loss-children/data/demographic-data.html

---

## Tables are used for tabular data, not layout (WCAG criterion undetermined)

**Bug ID:** `VS-68d86398`  
**Pattern ID:** `VS-3d3b2245`  
**URL:** https://www.cdc.gov/disability-and-health-partners/php/covid-19/index.html  
**XPath / selector:** `<div role="region" tabindex="0" class="map-container visualization-container bottom data us outline-none position-relative">`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r40` ([reference](https://alfa.siteimprove.com/rules/sia-r40))  
**Severity:** Moderate  
**Frequency:** 14 instances; 10 of 3333 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W29 (6 weeks)

### Description
Tables are used for tabular data, not layout. Detected by Siteimprove Alfa rule sia-r40 on 10 of 3333 scanned pages (14 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/disability-and-health-partners/php/covid-19/index.html.
2. Locate the element: <div role="region" tabindex="0" class="map-container visualization-container bottom data us outline-none position-relative">
3. Confirm the Siteimprove Alfa finding for rule sia-r40.

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

### Affected pages
- https://www.cdc.gov/disability-and-health-partners/php/covid-19/index.html
- http://www.cdc.gov/nchs/nvss/vsrr/infant-mortality-dashboard.htm
- https://www.cdc.gov/nchs/w2w/index.htm
- https://www.cdc.gov/nchs/state-stats/births/unmarried-mothers.html
- https://www.cdc.gov/sleep/data-research/facts-stats/high-school-students-sleep-facts-and-stats.html
- https://www.cdc.gov/fluview/overview/influenza-hospitalization-surveillance.html?CDC_AAref_Val=https%3A%2F%2Fwww.cdc.gov%2Fflu%2Fweekly%2Finfluenza-hospitalization-surveillance.htm
- https://www.cdc.gov/vaccine-safety-systems/hcp/cisa/index.html
- https://www.cdc.gov/nbs/php/about/index.html
- https://www.cdc.gov/hiv-data/nhss/hiv-diagnoses-deaths-and-prevalence-2026.html
- https://www.cdc.gov/listeria/outbreaks/enoki-11-22/locations.html

### 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-r40

### Example pages
- https://www.cdc.gov/disability-and-health-partners/php/covid-19/index.html
- http://www.cdc.gov/nchs/nvss/vsrr/infant-mortality-dashboard.htm
- https://www.cdc.gov/nchs/w2w/index.htm

---

## Element role is consistent with ARIA landmark (WCAG criterion undetermined)

**Bug ID:** `VS-4c08e2bf`  
**Pattern ID:** `VS-e5ec42f0`  
**URL:** https://www.cdc.gov/nchs/covid19/rands/reduced-access-to-care.htm  
**XPath / selector:** `<p class="h6">`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r72` ([reference](https://alfa.siteimprove.com/rules/sia-r72))  
**Severity:** Moderate  
**Frequency:** 235 instances; 7 of 3333 pages affected
  
**History:** first seen 2026-W26, last seen 2026-W29 (4 weeks)

### Description
Element role is consistent with ARIA landmark. Detected by Siteimprove Alfa rule sia-r72 on 7 of 3333 scanned pages (235 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/nchs/covid19/rands/reduced-access-to-care.htm.
2. Locate the element: <p class="h6">
3. Confirm the Siteimprove Alfa finding for rule sia-r72.

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

### Affected pages
- https://www.cdc.gov/nchs/covid19/rands/reduced-access-to-care.htm
- https://www.cdc.gov/pcd/issues/2013/2013_TOC.htm
- https://www.cdc.gov/nchs/data-visualization/natality-trends
- http://www.cdc.gov/nchs/covid19/rands.htm
- https://www.cdc.gov/nhsn/hps/weekly-covid-vac/index.html
- https://www.cdc.gov/contraception/hcp/usmec/intrauterine-devices.html
- https://www.cdc.gov/nchs/data-visualization/mortality-leading-causes

### 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-r72

### Example pages
- https://www.cdc.gov/nchs/covid19/rands/reduced-access-to-care.htm
- https://www.cdc.gov/pcd/issues/2013/2013_TOC.htm
- https://www.cdc.gov/nchs/data-visualization/natality-trends

---

## Form field error is identified and described (WCAG criterion undetermined)

**Bug ID:** `VS-d7ad18e0`  
**Pattern ID:** `VS-e43903a1`  
**URL:** https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5919a2.htm  
**XPath / selector:** `<table class="data-table-4">`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r75` ([reference](https://alfa.siteimprove.com/rules/sia-r75))  
**Severity:** Moderate  
**Frequency:** 279 instances; 4 of 3333 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W29 (5 weeks)

### Description
Form field error is identified and described. Detected by Siteimprove Alfa rule sia-r75 on 4 of 3333 scanned pages (279 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5919a2.htm.
2. Locate the element: <table class="data-table-4">
3. Confirm the Siteimprove Alfa finding for rule sia-r75.

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

### Affected pages
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5919a2.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6143a3.htm?s_cid=mm6143a3_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5916a5.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5928a2.htm?s_cid=mm5928a2_w

### 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-r75

### Example pages
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5919a2.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6143a3.htm?s_cid=mm6143a3_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5916a5.htm

---

## Keyboard trap does not exist (WCAG criterion undetermined)

**Bug ID:** `VS-3f1261f0`  
**Pattern ID:** `VS-4c341c77`  
**URL:** https://www.cdc.gov/nchs/data-visualization/natality-trends  
**XPath / selector:** `<p class="clicktitlebars">`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r85` ([reference](https://alfa.siteimprove.com/rules/sia-r85))  
**Severity:** Moderate  
**Frequency:** 2 instances; 2 of 3333 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W29 (5 weeks)

### Description
Keyboard trap does not exist. Detected by Siteimprove Alfa rule sia-r85 on 2 of 3333 scanned pages (2 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/nchs/data-visualization/natality-trends.
2. Locate the element: <p class="clicktitlebars">
3. Confirm the Siteimprove Alfa finding for rule sia-r85.

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

### Affected pages
- https://www.cdc.gov/nchs/data-visualization/natality-trends
- https://www.cdc.gov/nchs/data-visualization/mortality-leading-causes

### 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

### Example pages
- https://www.cdc.gov/nchs/data-visualization/natality-trends
- https://www.cdc.gov/nchs/data-visualization/mortality-leading-causes

---

## Element with orientation is not locked (WCAG criterion undetermined)

**Bug ID:** `VS-cf3c6aaa`  
**Pattern ID:** `VS-7fbb8b20`  
**URL:** https://www.cdc.gov/mmwr/volumes/65/wr/mm6518md.htm?s_cid=mm6518md_w  
**XPath / selector:** `{"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r59` ([reference](https://alfa.siteimprove.com/rules/sia-r59))  
**Severity:** Moderate  
**Frequency:** 1 instances; 1 of 3333 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W29 (5 weeks)

### Description
Element with orientation is not locked. Detected by Siteimprove Alfa rule sia-r59 on 1 of 3333 scanned pages (1 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/mmwr/volumes/65/wr/mm6518md.htm?s_cid=mm6518md_w.
2. Locate the element: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
3. Confirm the Siteimprove Alfa finding for rule sia-r59.

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

### Affected pages
- https://www.cdc.gov/mmwr/volumes/65/wr/mm6518md.htm?s_cid=mm6518md_w

### 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-r59

---

## Obsolete <blink> element (WCAG criterion undetermined)

**Bug ID:** `VS-6dcd75ad`  
**Pattern ID:** `VS-a84da368`  
**URL:** https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5208a1.htm  
**XPath / selector:** `blink`  
**WCAG SC:** _undetermined_  
**Rule:** deprecated-html — `blink-element`  
**Severity:** Moderate  
**Frequency:** 2 instances; 1 of 3333 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W29 (4 weeks)

### HTML snippet
```html
<blink><big>Please note: </big>
</blink>
```

### Description
Obsolete <blink> element. Detected by deprecated-html rule blink-element on 1 of 3333 scanned pages (2 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5208a1.htm.
2. Locate the element: blink
3. Confirm the deprecated-html finding for rule blink-element.

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

### Affected pages
- https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5208a1.htm

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

### Suggested fix
Not captured by automated scan — requires manual testing.
