# Accessibility bug reports — www.cdc.gov, week 2026-W40

78 issue type(s) from 1948 pages scanned. Generated 2026-09-30 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-92cb73c0`  
**Pattern ID:** `VS-179ad9b3`  
**URL:** https://www.cdc.gov/pcd/issues/2013/12_0096.htm  
**XPath / selector:** `<a href="#Abstract">`  
**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:** 1476 instances; 155 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

### Description
Target size is at least 24×24 CSS pixels or has spacing (Minimum). Detected by Siteimprove Alfa rule sia-r113 on 155 of 1948 scanned pages (1476 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/pcd/issues/2013/12_0096.htm.
2. Locate the element: <a href="#Abstract">
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/pcd/issues/2013/12_0096.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5050a3.htm
- https://www.cdc.gov/pcd/issues/2004/jan/03_0012.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6150a2.htm?s_cid=mm6150a2_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5943a4.htm?s_cid=mm5943a4_w
- http://www.cdc.gov/niosh/npg/npgd0407.html
- http://www.cdc.gov/niosh/npg/npgd0409.html
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5639md.htm
- http://www.cdc.gov/pcd/issues/2008/apr/07_0241.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5446md.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00017197.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5217a1.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6248a3.htm
- http://www.cdc.gov/PCD/issues/2009/jul/09_0017.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00000804.htm
- http://www.cdc.gov/PCD/issues/2011/may/10_0045_es.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00015325.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm4924a3.htm
- http://www.cdc.gov/pcd/issues/2006/jul/05_0138_es.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5014a1.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5614a4.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00014545.htm
- https://www.cdc.gov/niosh/npg/npgd0141.html
- https://www.cdc.gov/pcd/issues/2007/oct/07_0080_es.htm
- https://www.cdc.gov/niosh/docket/archive/docket298.html

…and more — 155 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/pcd/issues/2013/12_0096.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5050a3.htm
- https://www.cdc.gov/pcd/issues/2004/jan/03_0012.htm

---

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

**Bug ID:** `VS-940e6969`  
**Pattern ID:** `VS-f7dba940`  
**URL:** https://www.cdc.gov/niosh/publications/es/numbered/2006-110sp.html  
**XPath / selector:** `<a data-action="print" href="#print" class="d-none d-md-block" aria-label="print this page">`  
**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:** 90 instances; 43 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

### Description
Accessible name of link or button matches visible label. Detected by Siteimprove Alfa rule sia-r14 on 43 of 1948 scanned pages (90 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/niosh/publications/es/numbered/2006-110sp.html.
2. Locate the element: <a data-action="print" href="#print" class="d-none d-md-block" aria-label="print this page">
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/niosh/publications/es/numbered/2006-110sp.html
- http://www.cdc.gov/nora/councils/construction.html
- https://www.cdc.gov/active-communities-tool/php/about
- http://www.cdc.gov/diabetes/es/diabetes-complications/la-diabetes-y-la-salud-oral.html
- https://www.cdc.gov/salmonella/outbreaks/bearded-dragon-10-22/index.html
- http://www.cdc.gov/cancer/es/prevention/index.html
- http://www.cdc.gov/healthy-swimming/es/prevention/preventing-eye-irritation-from-pool-chemicals.html
- https://www.cdc.gov/hepatitis/statistics/2021surveillance/hepatitis-a/figure-1.6.htm
- http://www.cdc.gov/diabetes-prevention/es/about-prediabetes-type-2/prediabetes-y-diabetes-tipo-2.html
- http://www.cdc.gov/acanthamoeba/about/index.html
- https://www.cdc.gov/act-early/resources/milestone-tracker-app-posters.html
- https://www.cdc.gov/tobacco/campaign/tips/spanish/poblaciones/indoamericanos-o-nativos-de-alaska.html
- https://www.cdc.gov/healthy-swimming/es/about/consejos-para-el-uso-de-panales-para-nadar.html
- http://www.cdc.gov/shingles/es/about/acerca-de-la-culebrilla-herpes-zoster.html
- http://www.cdc.gov/acip-recs/hcp/vaccine-specific/dtap-tdap-td.html
- https://www.cdc.gov/acip-recs/hcp/vaccine-specific/anthrax.html
- http://www.cdc.gov/media/es/releases/2026/el-brote-de-cyclospora-vinculado-a-la-lechuga-iceberg-se-extendio-a-cuatro-nuevos-estados.html
- http://www.cdc.gov/tobacco/campaign/tips/spanish/historias/kristy.html
- https://www.cdc.gov/ncbddd/birthdefects/data.html
- http://www.cdc.gov/healthy-swimming/es/prevention/como-prevenir-el-oido-de-nadador.html
- https://www.cdc.gov/niosh/publications/numbered/2004-110.html
- http://www.cdc.gov/media/es/releases/2025/comunicado-de-los-cdc-sobre-el-brote-de-sarampion-04072025.html
- https://www.cdc.gov/niosh/publications/es/numbered/2002-107sp.html
- http://www.cdc.gov/nchs/healthy_people/hp2020/progress-tables.htm
- https://www.cdc.gov/stop-overdose/es/caring/como-ayudar-a-detener-una-sobredosis.html

…and more — 43 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/niosh/publications/es/numbered/2006-110sp.html
- http://www.cdc.gov/nora/councils/construction.html
- https://www.cdc.gov/active-communities-tool/php/about

---

## Images must have alternative text (WCAG 1.1.1)

**Bug ID:** `VS-058fa054`  
**Pattern ID:** `VS-9074b4dd`  
**URL:** https://www.cdc.gov/mmwr/preview/mmwrhtml/00000450.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:** 3979 instances; 339 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 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 339 of 1948 scanned pages (3979 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/mmwr/preview/mmwrhtml/00000450.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/00000450.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00056637.htm
- http://www.cdc.gov/pcd/issues/2007/apr/06_0073a.htm
- http://www.cdc.gov/pcd/issues/2006/oct/05_0243_zhs.htm
- http://www.cdc.gov/pcd/issues/2011/nov/10_0197_es.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00000283.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00053877.htm
- http://www.cdc.gov/pcd/issues/2009/jan/07_0242_zhs.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5022a3.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00038946.htm
- http://www.cdc.gov/pcd/issues/2010/mar/09_0095_es.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5050a3.htm
- https://www.cdc.gov/pcd/issues/2004/jan/03_0012.htm
- http://www.cdc.gov/pcd/issues/2009/jan/08_0020_fr.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5709a3.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00051486.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00000230.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5319a2.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5613a5.htm
- http://www.cdc.gov/pcd/issues/2006/jul/05_0173_fr.htm
- http://www.cdc.gov/pcd/issues/2006/jan/05_0077_fr.htm
- http://www.cdc.gov/PCD/issues/2010/may/09_0164.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5407a5.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5433a2.htm
- http://www.cdc.gov/pcd/issues/2005/apr/04_0139_zhs.htm

…and more — 339 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/00000450.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00056637.htm
- http://www.cdc.gov/pcd/issues/2007/apr/06_0073a.htm

---

## Image has accessible name (WCAG 1.1.1)

**Bug ID:** `VS-fdd075cd`  
**Pattern ID:** `VS-a24eaa8c`  
**URL:** https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5050a3.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:** 891 instances; 84 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

### Description
Image has accessible name. Detected by Siteimprove Alfa rule sia-r2 on 84 of 1948 scanned pages (891 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5050a3.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/mm5050a3.htm
- https://www.cdc.gov/pcd/issues/2004/jan/03_0012.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5639md.htm
- http://www.cdc.gov/pcd/issues/2008/apr/07_0241.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5446md.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00017197.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5217a1.htm
- http://www.cdc.gov/PCD/issues/2009/jul/09_0017.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00000804.htm
- http://www.cdc.gov/PCD/issues/2011/may/10_0045_es.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00015325.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm4924a3.htm
- http://www.cdc.gov/pcd/issues/2006/jul/05_0138_es.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5014a1.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5614a4.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00014545.htm
- https://www.cdc.gov/pcd/issues/2007/oct/07_0080_es.htm
- https://www.cdc.gov/pcd/issues/2005/apr/04_0142o_zht.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5440a4.htm
- https://www.cdc.gov/mmwr/volumes/66/wr/mm6619md.htm?s_cid=mm6619md_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5006a1.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00000714.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00022062.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5402a8.htm
- http://www.cdc.gov/pcd/issues/2005/apr/04_0063_zht.htm

…and more — 84 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/mm5050a3.htm
- https://www.cdc.gov/pcd/issues/2004/jan/03_0012.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5639md.htm

---

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

**Bug ID:** `VS-c2f630a4`  
**Pattern ID:** `VS-9429bb8d`  
**URL:** https://www.cdc.gov/stophivtogether/hiv-testing/self-testing.html?s_cid=so_togetherconsumertk0294  
**XPath / selector:** `#accordion-7`  
**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:** 2 instances; 1 of 1948 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W40 (14 weeks)

### HTML snippet
```html
<div class="accordion indicator-plus accordion-white mb3" id="accordion-7" role="tablist">
```

### Description
Certain ARIA roles must contain particular children. Detected by axe-core rule aria-required-children on 1 of 1948 scanned pages (2 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/stophivtogether/hiv-testing/self-testing.html?s_cid=so_togetherconsumertk0294.
2. Locate the element: #accordion-7
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/stophivtogether/hiv-testing/self-testing.html?s_cid=so_togetherconsumertk0294

### 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

---

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

**Bug ID:** `VS-78e39994`  
**Pattern ID:** `VS-07ba3b17`  
**URL:** https://www.cdc.gov/brfss/acbs/2017/multiple_year/acbs_prevalence_15-17_table2a.html  
**XPath / selector:** `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:** 13 instances; 11 of 1948 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W40 (16 weeks)

### HTML snippet
```html
<table class="prevaltb" border="1" summary="Table 2a: BRFSS Asthma Call-back Survey 2015-2017">
```

### Description
Table cell headers attributes must refer to other <th> elements in the same tabl. Detected by axe-core rule td-headers-attr on 11 of 1948 scanned pages (13 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/brfss/acbs/2017/multiple_year/acbs_prevalence_15-17_table2a.html.
2. Locate the element: 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/brfss/acbs/2017/multiple_year/acbs_prevalence_15-17_table2a.html
- https://www.cdc.gov/brfss/acbs/2012/prevalence_tables/table6.html
- https://www.cdc.gov/asthma/healthcare-use/2013/table_b.html
- https://www.cdc.gov/brfss/acbs/2018/prevalence_tables/table8_LLCP.html
- https://www.cdc.gov/asthma/nhis/2021/table1-2.htm
- http://www.cdc.gov/acip/grade/cholera-cvd-103-hgr-child-2-17-years.html
- https://www.cdc.gov/legionella/php/surveillance/surveillance-report-2018-2019.html
- http://www.cdc.gov/asthma/healthcare-use/2017/table_a.html
- https://www.cdc.gov/asthma/healthcare-use/2017/table_a.html
- https://www.cdc.gov/asthma/nhis/2019/table6-1.htm
- https://www.cdc.gov/brfss/acbs/2017/multiple_year/acbs_prevalence_15-17_table12.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/brfss/acbs/2017/multiple_year/acbs_prevalence_15-17_table2a.html
- https://www.cdc.gov/brfss/acbs/2012/prevalence_tables/table6.html
- https://www.cdc.gov/asthma/healthcare-use/2013/table_b.html

---

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

**Bug ID:** `VS-03304dc6`  
**Pattern ID:** `VS-a0bdbdf6`  
**URL:** http://www.cdc.gov/mmwr/preview/mmwrhtml/00038946.htm  
**XPath / selector:** `ol[type="1"]`  
**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:** 6 instances; 6 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

### HTML snippet
```html
<ol type="1">
```

### Description
<ul> and <ol> must only directly contain <li>, <script> or <template> elements. Detected by axe-core rule list on 6 of 1948 scanned pages (6 instances).

### Steps to reproduce
1. Open http://www.cdc.gov/mmwr/preview/mmwrhtml/00038946.htm.
2. Locate the element: ol[type="1"]
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
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00038946.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00017197.htm
- http://www.cdc.gov/wtc/federal_register.html
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00053391.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00021017.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00017522.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:** 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
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00038946.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00017197.htm
- http://www.cdc.gov/wtc/federal_register.html

---

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

**Bug ID:** `VS-b0eaface`  
**Pattern ID:** `VS-6175596b`  
**URL:** http://www.cdc.gov/zika/hcp/diagnosis-testing/placental-and-fetal-tissue-specimens.html  
**XPath / selector:** `.table.dfe-table.table-no-header:nth-child(5) > .table-body[role="rowgroup"] > .table-row.row[role="row"]:nth-child(1) > .table-col[role="cell"][data-col="2"] > li`  
**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:** 36 instances; 4 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

### HTML snippet
```html
<li>4 or more specimens</li>
```

### Description
<li> elements must be contained in a <ul> or <ol>. Detected by axe-core rule listitem on 4 of 1948 scanned pages (36 instances).

### Steps to reproduce
1. Open http://www.cdc.gov/zika/hcp/diagnosis-testing/placental-and-fetal-tissue-specimens.html.
2. Locate the element: .table.dfe-table.table-no-header:nth-child(5) > .table-body[role="rowgroup"] > .table-row.row[role="row"]:nth-child(1) > .table-col[role="cell"][data-col="2"] > li
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
- http://www.cdc.gov/zika/hcp/diagnosis-testing/placental-and-fetal-tissue-specimens.html
- https://www.cdc.gov/national-asthma-control-program/php/partners/kentucky.html
- https://www.cdc.gov/group-b-strep/prevention/index.html
- https://www.cdc.gov/national-asthma-control-program/php/partners/indiana.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:** <li> must be inside a <ul> or <ol>.

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

### Example pages
- http://www.cdc.gov/zika/hcp/diagnosis-testing/placental-and-fetal-tissue-specimens.html
- https://www.cdc.gov/national-asthma-control-program/php/partners/kentucky.html
- https://www.cdc.gov/group-b-strep/prevention/index.html

---

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

**Bug ID:** `VS-a765dd5d`  
**Pattern ID:** `VS-d6097011`  
**URL:** https://www.cdc.gov/pcd/issues/2013/12_0096.htm  
**XPath / selector:** `<ul class="forWide">`  
**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:** 460 instances; 45 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

### Description
Presentational children of an element are not focusable. Detected by Siteimprove Alfa rule sia-r68 on 45 of 1948 scanned pages (460 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/pcd/issues/2013/12_0096.htm.
2. Locate the element: <ul class="forWide">
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/pcd/issues/2013/12_0096.htm
- https://www.cdc.gov/nchs/nhanes/about-data/index.html
- http://www.cdc.gov/diabetes/es/diabetes-complications/la-diabetes-y-la-salud-oral.html
- http://www.cdc.gov/nchs/updates/index.html
- https://www.cdc.gov/disability-inclusion/about/index.html
- https://www.cdc.gov/phlp/php/trainingandeducationalresources/public-health-law-101.html
- http://www.cdc.gov/cancer/es/prevention/index.html
- http://www.cdc.gov/healthy-swimming/es/prevention/preventing-eye-irritation-from-pool-chemicals.html
- http://www.cdc.gov/tb/about/children.html
- http://www.cdc.gov/sleeping-sickness/hcp/clinical-care/index.html
- http://www.cdc.gov/vaccine-safety-systems/about/cdc-monitoring-program.html
- https://www.cdc.gov/about/advisory-committee-director/meetings.html
- https://www.cdc.gov/inflammatory-bowel-disease/php/facts-stats
- https://www.cdc.gov/places/tools/explore-places-data-portal.html
- http://www.cdc.gov/han/2023/han00488.html
- https://www.cdc.gov/drugresistance/covid19.html
- http://www.cdc.gov/hearing-loss-children-guide/parents-guide/parts-of-the-ear.html
- http://www.cdc.gov/orr/data-research/index.html
- https://www.cdc.gov/hepatitis-a/prevention/index.html
- https://www.cdc.gov/healthy-swimming/es/about/consejos-para-el-uso-de-panales-para-nadar.html
- https://www.cdc.gov/comec/data-systems/nvdrs.html
- https://www.cdc.gov/niosh/future-of-work/about/index.html
- http://www.cdc.gov/fungal/php/guidance-investigating-outbreaks/mold-healthcare.html
- https://www.cdc.gov/pcd/issues/2013/12_0161_es.htm
- http://www.cdc.gov/acip-recs/hcp/vaccine-specific/dtap-tdap-td.html

…and more — 45 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/pcd/issues/2013/12_0096.htm
- https://www.cdc.gov/nchs/nhanes/about-data/index.html
- http://www.cdc.gov/diabetes/es/diabetes-complications/la-diabetes-y-la-salud-oral.html

---

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

**Bug ID:** `VS-d47a99d9`  
**Pattern ID:** `VS-4408605e`  
**URL:** https://www.cdc.gov/brfss/acbs/2012/prevalence_tables/table6.html  
**XPath / selector:** `<th align="left" id="row1 " scope="row">`  
**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:** 45 instances; 3 of 1948 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W40 (16 weeks)

### Description
Element has required aria-owns. Detected by Siteimprove Alfa rule sia-r46 on 3 of 1948 scanned pages (45 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/brfss/acbs/2012/prevalence_tables/table6.html.
2. Locate the element: <th align="left" id="row1 " scope="row">
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/brfss/acbs/2012/prevalence_tables/table6.html
- https://www.cdc.gov/asthma/nhis/08/table4-1.htm
- https://www.cdc.gov/hepatitis/statistics/2021surveillance/hepatitis-c/table-3.5.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/brfss/acbs/2012/prevalence_tables/table6.html
- https://www.cdc.gov/asthma/nhis/08/table4-1.htm
- https://www.cdc.gov/hepatitis/statistics/2021surveillance/hepatitis-c/table-3.5.htm

---

## Element has required owned roles (WCAG 1.3.1)

**Bug ID:** `VS-901dff6e`  
**Pattern ID:** `VS-3c632d31`  
**URL:** https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5324a6.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:** 3 instances; 3 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

### Description
Element has required owned roles. Detected by Siteimprove Alfa rule sia-r64 on 3 of 1948 scanned pages (3 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5324a6.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/mm5324a6.htm
- https://www.cdc.gov/niosh/idlh/criteria.html
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5644a1.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/mm5324a6.htm
- https://www.cdc.gov/niosh/idlh/criteria.html
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5644a1.htm

---

## Table cell has header (WCAG 1.3.1)

**Bug ID:** `VS-febb0ddc`  
**Pattern ID:** `VS-3f067795`  
**URL:** https://www.cdc.gov/pcd/issues/2004/jan/03_0012.htm  
**XPath / selector:** `<td scope="row" class="psmall" valign="top" width="40%">`  
**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:** 23 instances; 2 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

### Description
Table cell has header. Detected by Siteimprove Alfa rule sia-r77 on 2 of 1948 scanned pages (23 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/pcd/issues/2004/jan/03_0012.htm.
2. Locate the element: <td scope="row" class="psmall" valign="top" width="40%">
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
- https://www.cdc.gov/pcd/issues/2004/jan/03_0012.htm
- http://www.cdc.gov/fluview/surveillance/2025-week-33.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
- https://www.cdc.gov/pcd/issues/2004/jan/03_0012.htm
- http://www.cdc.gov/fluview/surveillance/2025-week-33.html

---

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

**Bug ID:** `VS-883834f3`  
**Pattern ID:** `VS-9207ed51`  
**URL:** https://www.cdc.gov/brfss/acbs/2012/prevalence_tables/table6.html  
**XPath / selector:** `@headers="ActiveSampSize row29 "`  
**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:** 320 instances; 1 of 1948 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W40 (15 weeks)

### Description
aria-hidden element is not exposed to assistive technology. Detected by Siteimprove Alfa rule sia-r45 on 1 of 1948 scanned pages (320 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/brfss/acbs/2012/prevalence_tables/table6.html.
2. Locate the element: @headers="ActiveSampSize row29 "
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/brfss/acbs/2012/prevalence_tables/table6.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

---

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

**Bug ID:** `VS-4bf1f38e`  
**Pattern ID:** `VS-8ade3360`  
**URL:** http://www.cdc.gov/healthcare-associated-infections/php/preventing-mdros/mdro-prevention-strategies.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:** 43 instances; 43 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 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 43 of 1948 scanned pages (43 instances).

### Steps to reproduce
1. Open http://www.cdc.gov/healthcare-associated-infections/php/preventing-mdros/mdro-prevention-strategies.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
- http://www.cdc.gov/healthcare-associated-infections/php/preventing-mdros/mdro-prevention-strategies.html
- https://www.cdc.gov/grants/applying/eligibility.html
- http://www.cdc.gov/infection-control/hcp/environmental-infection-control-guidelines/executive-summary.html
- http://www.cdc.gov/niosh/school-safety/program/ch-3.html
- http://www.cdc.gov/healthcare-associated-infections/hcp/cleaning-global/programs.html
- https://www.cdc.gov/marburg/hcp/training/environmental-cleaning-disinfection-for-facilities-management.html
- http://www.cdc.gov/hepatitis-surveillance-2023/hepatitis-c/figure-3-8.html
- https://www.cdc.gov/hepatitis-surveillance-2022/hepatitis-b/figure-2-6.html
- https://www.cdc.gov/safe-labs/php/echo-biosafety/risk-assessment-clinical-laboratories.html
- http://www.cdc.gov/hepatitis/php/npr-2023/hep-c-reduce-infections.html
- http://www.cdc.gov/infection-control/hcp/training/training-evs-and-the-battle-against-infection.html
- https://www.cdc.gov/hepatitis/statistics/2021surveillance/hepatitis-a/figure-1.6.htm
- http://www.cdc.gov/healthcare-associated-infections/php/haic-eip/invasive-staphylococcus.html
- https://www.cdc.gov/hepatitis-surveillance-2022/perinatal-hepatitis-b/figure-4-1.html
- http://www.cdc.gov/hearing-loss-children-guide/parents-guide/parts-of-the-ear.html
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6309a4.htm?s_cid=mm6309a4_w
- http://www.cdc.gov/hepatitis-surveillance-2022/hepatitis-c/figure-3-7.html
- https://www.cdc.gov/act-early/milestones/4-years.html
- http://www.cdc.gov/infection-control/hcp/basics/transmission-based-precautions.html
- http://www.cdc.gov/infection-control/hcp/environmental-control/laundry-bedding.html
- https://www.cdc.gov/disability-and-health-partners/php/healthy-communities/phase-5-evaluation.html
- https://www.cdc.gov/ccindex/everydaywords/index.html?word=Response
- http://www.cdc.gov/healthcare-associated-infections/php/prevention-epicenters/maryland.html
- https://www.cdc.gov/infection-control/hcp/cauti/evidence-review.html
- http://www.cdc.gov/hepatitis-surveillance-2022/hepatitis-b/table-2-1.html

…and more — 43 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
- http://www.cdc.gov/healthcare-associated-infections/php/preventing-mdros/mdro-prevention-strategies.html
- https://www.cdc.gov/grants/applying/eligibility.html
- http://www.cdc.gov/infection-control/hcp/environmental-infection-control-guidelines/executive-summary.html

---

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

**Bug ID:** `VS-b3fadf59`  
**Pattern ID:** `VS-efd91fdd`  
**URL:** http://www.cdc.gov/tobacco/campaign/tips/groups/general-public.html  
**XPath / selector:** `<a href="#one">`  
**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:** 4 instances; 1 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (15 weeks)

### Description
Link in text block is visually distinguishable without color. Detected by Siteimprove Alfa rule sia-r62 on 1 of 1948 scanned pages (4 instances).

### Steps to reproduce
1. Open http://www.cdc.gov/tobacco/campaign/tips/groups/general-public.html.
2. Locate the element: <a href="#one">
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/groups/general-public.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

---

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

**Bug ID:** `VS-9497a55e`  
**Pattern ID:** `VS-c613c153`  
**URL:** http://www.cdc.gov/healthcare-associated-infections/php/preventing-mdros/mdro-prevention-strategies.html  
**XPath / selector:** `div[data-section="cdc_generic_section_10"] > .dfe-block--cdcmodule.cdc_page_element.dfe-block--width-standard > .dfe-block__inner > .cdc-textblock > .table-responsive > div`  
**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:** 39 instances; 19 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

### HTML snippet
```html
<div style="overflow-x: auto;">
```

### Description
Scrollable region must have keyboard access. Detected by axe-core rule scrollable-region-focusable on 19 of 1948 scanned pages (39 instances).

### Steps to reproduce
1. Open http://www.cdc.gov/healthcare-associated-infections/php/preventing-mdros/mdro-prevention-strategies.html.
2. Locate the element: div[data-section="cdc_generic_section_10"] > .dfe-block--cdcmodule.cdc_page_element.dfe-block--width-standard > .dfe-block__inner > .cdc-textblock > .table-responsive > div
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
- http://www.cdc.gov/healthcare-associated-infections/php/preventing-mdros/mdro-prevention-strategies.html
- http://www.cdc.gov/hepatitis/statistics/2020surveillance/hepatitis-c/table-3.7.htm
- http://www.cdc.gov/asthma-data/nhis/2022-standard-errors-current-population-estimates-age.html
- http://www.cdc.gov/acip-grade-handbook/hcp/chapter-9-domains-increasing-ones-certainty-in-the-evidence/index.html
- https://www.cdc.gov/nchs/data/hestat/hestat113.htm
- http://www.cdc.gov/hepatitis/statistics/2020surveillance/hepatitis-c/table-3.5.htm
- http://www.cdc.gov/tb/statistics/reports/2022/table19.htm
- https://www.cdc.gov/asthma/nhis/2021/table1-2.htm
- http://www.cdc.gov/acip/grade/cholera-cvd-103-hgr-child-2-17-years.html
- https://www.cdc.gov/acip/grade/rabies-2-dose.html
- http://www.cdc.gov/hepatitis-surveillance-2022/hepatitis-b/table-2-1.html
- http://www.cdc.gov/vaccines/acip/recs/grade/covid-19-2023-2024-Monovalent.html
- http://www.cdc.gov/hepatitis-surveillance-2021/hepatitis-a/table-1-1.html
- http://www.cdc.gov/mmwr/volumes/66/wr/mm6640a3.htm
- https://www.cdc.gov/mmwr/volumes/65/wr/mm6526a1.htm
- https://www.cdc.gov/vaccines/acip/recs/grade/nirsevimab-season2-rsv-infants-children.html
- http://www.cdc.gov/overdose-prevention/php/drug-free-communities/coalitions.html
- https://www.cdc.gov/infection-control/hcp/environmental-control/appendix-b-air.html?CDC_AAref_Val=https%3A%2F%2Fwww.cdc.gov%2Finfectioncontrol%2Fguidelines%2Fenvironmental%2Fappendix%2Fair.html
- https://www.cdc.gov/hepatitis/statistics/2021surveillance/hepatitis-c/table-3.5.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:** 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
- http://www.cdc.gov/healthcare-associated-infections/php/preventing-mdros/mdro-prevention-strategies.html
- http://www.cdc.gov/hepatitis/statistics/2020surveillance/hepatitis-c/table-3.7.htm
- http://www.cdc.gov/asthma-data/nhis/2022-standard-errors-current-population-estimates-age.html

---

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

**Bug ID:** `VS-559475ad`  
**Pattern ID:** `VS-4b45acfe`  
**URL:** http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5202a2.htm  
**XPath / selector:** `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 1948 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W40 (16 weeks)

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

### Description
<blink> elements are deprecated and must not be used. Detected by axe-core rule blink on 4 of 1948 scanned pages (5 instances).

### Steps to reproduce
1. Open http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5202a2.htm.
2. Locate the element: 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
- http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5202a2.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5009a1.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5640a7.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5651a7.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
- http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5202a2.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5009a1.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5640a7.htm

---

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

**Bug ID:** `VS-9134986c`  
**Pattern ID:** `VS-c80d5faa`  
**URL:** https://www.cdc.gov/nchs/pressroom/stat/index.html  
**XPath / selector:** `html`  
**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:** 1 instances; 1 of 1948 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W40 (10 weeks)

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

### Description
Documents must have <title> element to aid in navigation. Detected by axe-core rule document-title on 1 of 1948 scanned pages (1 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/nchs/pressroom/stat/index.html.
2. Locate the element: html
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/nchs/pressroom/stat/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:** Give the page a unique, descriptive <title>.

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

---

## Links must have discernible text (WCAG 2.4.4)

**Bug ID:** `VS-3a4a5aa1`  
**Pattern ID:** `VS-e9fe47ac`  
**URL:** http://www.cdc.gov/pcd/issues/2007/apr/06_0073a.htm  
**XPath / selector:** `table[cellpadding="0"][cellspacing="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:** 444 instances; 141 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 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 141 of 1948 scanned pages (444 instances).

### Steps to reproduce
1. Open http://www.cdc.gov/pcd/issues/2007/apr/06_0073a.htm.
2. Locate the element: table[cellpadding="0"][cellspacing="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
- http://www.cdc.gov/pcd/issues/2007/apr/06_0073a.htm
- http://www.cdc.gov/pcd/issues/2006/oct/05_0243_zhs.htm
- http://www.cdc.gov/pcd/issues/2011/nov/10_0197_es.htm
- https://www.cdc.gov/niosh/publications/es/numbered/2006-110sp.html
- http://www.cdc.gov/niosh-rtecs/SAC5C10.html
- http://www.cdc.gov/pcd/issues/2009/jan/07_0242_zhs.htm
- https://www.cdc.gov/spanish/NIOSH/docs/2007-133_sp
- http://www.cdc.gov/pcd/issues/2010/mar/09_0095_es.htm
- https://www.cdc.gov/pcd/issues/2004/jan/03_0012.htm
- http://www.cdc.gov/pcd/issues/2009/jan/08_0020_fr.htm
- http://www.cdc.gov/pcd/issues/2006/jul/05_0173_fr.htm
- http://www.cdc.gov/pcd/issues/2006/jan/05_0077_fr.htm
- http://www.cdc.gov/PCD/issues/2010/may/09_0164.htm
- http://www.cdc.gov/pcd/issues/2005/apr/04_0139_zhs.htm
- https://www.cdc.gov/az/j.html
- https://www.cdc.gov/niosh-rtecs/KN657890.html
- http://www.cdc.gov/pcd/issues/2008/apr/07_0241.htm
- https://www.cdc.gov/pcd/issues/2005/apr/04_0139.htm
- http://www.cdc.gov/pcd/issues/2007/oct/07_0091_fr.htm
- https://www.cdc.gov/pcd/issues/2005/apr/04_0142n.htm
- http://www.cdc.gov/PCD/issues/2006/apr/05_0091.htm
- http://www.cdc.gov/PCD/issues/2010/jul/09_0175.htm
- http://www.cdc.gov/niosh/publications/numbered/97-120.html
- http://www.cdc.gov/PCD/issues/2009/jul/09_0017.htm
- http://www.cdc.gov/niosh/docs/mining/works/coversheet45.html

…and more — 141 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
- http://www.cdc.gov/pcd/issues/2007/apr/06_0073a.htm
- http://www.cdc.gov/pcd/issues/2006/oct/05_0243_zhs.htm
- http://www.cdc.gov/pcd/issues/2011/nov/10_0197_es.htm

---

## Link has accessible name (WCAG 2.4.4)

**Bug ID:** `VS-e274efa9`  
**Pattern ID:** `VS-28ebd979`  
**URL:** https://www.cdc.gov/niosh/publications/es/numbered/2006-110sp.html  
**XPath / selector:** `<a href="/niosh/media/pdfs/2026/05/2006-110.pdf" target="_blank" rel="noopener noreferrer" class="no-decoration">`  
**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:** 85 instances; 33 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

### Description
Link has accessible name. Detected by Siteimprove Alfa rule sia-r11 on 33 of 1948 scanned pages (85 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/niosh/publications/es/numbered/2006-110sp.html.
2. Locate the element: <a href="/niosh/media/pdfs/2026/05/2006-110.pdf" target="_blank" rel="noopener noreferrer" class="no-decoration">
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/niosh/publications/es/numbered/2006-110sp.html
- https://www.cdc.gov/pcd/issues/2004/jan/03_0012.htm
- https://www.cdc.gov/az/j.html
- http://www.cdc.gov/pcd/issues/2008/apr/07_0241.htm
- http://www.cdc.gov/niosh/publications/numbered/97-120.html
- http://www.cdc.gov/PCD/issues/2009/jul/09_0017.htm
- http://www.cdc.gov/niosh/docs/mining/works/coversheet45.html
- http://www.cdc.gov/PCD/issues/2011/may/10_0045_es.htm
- http://www.cdc.gov/pcd/issues/2006/jul/05_0138_es.htm
- https://www.cdc.gov/pcd/issues/2007/oct/07_0080_es.htm
- https://www.cdc.gov/pcd/issues/2005/apr/04_0142o_zht.htm
- https://www.cdc.gov/laboratory/specimen-submission/detail.html?CDCTestCode=CDC-10130
- http://www.cdc.gov/pcd/issues/2005/apr/04_0063_zht.htm
- http://www.cdc.gov/PCD/issues/2011/jul/10_0185_es.htm
- https://www.cdc.gov/pcd/issues/2005/apr/04_0142w_zht.htm
- http://www.cdc.gov/pcd/issues/2010/sep/10_0028_es.htm
- http://www.cdc.gov/pcd/issues/2008/oct/07_0239_zht.htm
- http://www.cdc.gov/healthy-pets/about/birds.html
- https://www.cdc.gov/pcd/issues/2008/apr/07_0202_es.htm
- http://www.cdc.gov/pcd/issues/2009/jul/09_0017.htm
- http://www.cdc.gov/PCD/issues/2008/apr/07_0039_es.htm
- https://www.cdc.gov/niosh-rtecs/EO2D6518.html
- https://www.cdc.gov/pcd/issues/2012/11_0096_es.htm
- http://www.cdc.gov/pcd/issues/2006/jul/05_0221_zht.htm
- http://www.cdc.gov/pcd/issues/2008/apr/07_0056_fr.htm

…and more — 33 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/niosh/publications/es/numbered/2006-110sp.html
- https://www.cdc.gov/pcd/issues/2004/jan/03_0012.htm
- https://www.cdc.gov/az/j.html

---

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

**Bug ID:** `VS-6cc73cb3`  
**Pattern ID:** `VS-c126b6a6`  
**URL:** https://www.cdc.gov/mmwr/preview/mmwrhtml/00000450.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:** 340 instances; 340 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

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

### Description
<html> element must have a lang attribute. Detected by axe-core rule html-has-lang on 340 of 1948 scanned pages (340 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/mmwr/preview/mmwrhtml/00000450.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/00000450.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00056637.htm
- http://www.cdc.gov/pcd/issues/2007/apr/06_0073a.htm
- http://www.cdc.gov/pcd/issues/2006/oct/05_0243_zhs.htm
- http://www.cdc.gov/pcd/issues/2011/nov/10_0197_es.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00000283.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00053877.htm
- http://www.cdc.gov/pcd/issues/2009/jan/07_0242_zhs.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5022a3.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00038946.htm
- http://www.cdc.gov/pcd/issues/2010/mar/09_0095_es.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5050a3.htm
- https://www.cdc.gov/pcd/issues/2004/jan/03_0012.htm
- http://www.cdc.gov/pcd/issues/2009/jan/08_0020_fr.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5709a3.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00051486.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00000230.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5319a2.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5613a5.htm
- http://www.cdc.gov/pcd/issues/2006/jul/05_0173_fr.htm
- http://www.cdc.gov/pcd/issues/2006/jan/05_0077_fr.htm
- http://www.cdc.gov/PCD/issues/2010/may/09_0164.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5407a5.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5433a2.htm
- http://www.cdc.gov/pcd/issues/2005/apr/04_0139_zhs.htm

…and more — 340 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/00000450.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00056637.htm
- http://www.cdc.gov/pcd/issues/2007/apr/06_0073a.htm

---

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

**Bug ID:** `VS-dbcc318d`  
**Pattern ID:** `VS-7a0e5645`  
**URL:** https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5050a3.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:** 85 instances; 85 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

### Description
Document has a valid lang attribute. Detected by Siteimprove Alfa rule sia-r4 on 85 of 1948 scanned pages (85 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5050a3.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/mm5050a3.htm
- https://www.cdc.gov/pcd/issues/2004/jan/03_0012.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5639md.htm
- http://www.cdc.gov/pcd/issues/2008/apr/07_0241.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5446md.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00017197.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5217a1.htm
- http://www.cdc.gov/PCD/issues/2009/jul/09_0017.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00000804.htm
- http://www.cdc.gov/PCD/issues/2011/may/10_0045_es.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00015325.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm4924a3.htm
- http://www.cdc.gov/pcd/issues/2006/jul/05_0138_es.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5014a1.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5614a4.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00014545.htm
- https://www.cdc.gov/pcd/issues/2007/oct/07_0080_es.htm
- https://www.cdc.gov/pcd/issues/2005/apr/04_0142o_zht.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5440a4.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5006a1.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00000714.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00022062.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5402a8.htm
- http://www.cdc.gov/pcd/issues/2005/apr/04_0063_zht.htm
- http://www.cdc.gov/PCD/issues/2011/jul/10_0185_es.htm

…and more — 85 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/mm5050a3.htm
- https://www.cdc.gov/pcd/issues/2004/jan/03_0012.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5639md.htm

---

## Form elements must have labels (WCAG 4.1.2)

**Bug ID:** `VS-e23d8599`  
**Pattern ID:** `VS-fafffee0`  
**URL:** https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6118a8.htm?s_cid=mm6118a8_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:** 93 instances; 81 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 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 81 of 1948 scanned pages (93 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6118a8.htm?s_cid=mm6118a8_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
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6118a8.htm?s_cid=mm6118a8_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6311a5.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6040a8.htm?s_cid=mm6040a8_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6150a2.htm?s_cid=mm6150a2_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5943a4.htm?s_cid=mm5943a4_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/su6004a9.htm?s_cid=su6004a9_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6046a6.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6350a8.htm?s_cid=mm6350a8_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6248a3.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6349a3.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6042a6.htm?s_cid=mm6042a6_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6343a6.htm?s_cid=mm6343a6_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6349a8.htm?s_cid=mm6349a8_w
- http://www.cdc.gov/mmwr/preview/index93.html
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6048a3.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6121md.htm?s_cid=mm6121md_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6441a2.htm?s_cid=mm6441a2_w
- https://www.cdc.gov/stophivtogether/library/topics/testing/banners/square.html
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6408a7.htm?s_cid=mm6408a7_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6013a2.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6206a1.htm?s_cid=mm6206a1_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6309a4.htm?s_cid=mm6309a4_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/su6302a12.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6249a5.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6007a1.htm?s_cid=mm6007a1_w

…and more — 81 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
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6118a8.htm?s_cid=mm6118a8_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6311a5.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6040a8.htm?s_cid=mm6040a8_w

---

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

**Bug ID:** `VS-6ca8bdf4`  
**Pattern ID:** `VS-fab92378`  
**URL:** http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6325a4.htm?s_cid=mm6325a4_w  
**XPath / selector:** `select`  
**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:** 17 instances; 7 of 1948 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W40 (16 weeks)

### HTML snippet
```html
<select onchange="return RedirectLanguage(this.value);">
<option>Please select language</option>
<option value="fr">Français</option>

</select>
```

### Description
Select element must have an accessible name. Detected by axe-core rule select-name on 7 of 1948 scanned pages (17 instances).

### Steps to reproduce
1. Open http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6325a4.htm?s_cid=mm6325a4_w.
2. Locate the element: select
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
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6325a4.htm?s_cid=mm6325a4_w
- https://www.cdc.gov/nchs/hus/data-finder.htm?subject=Mental+health
- http://www.cdc.gov/nchs/pressroom/calendar/2026_schedule.htm
- http://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/nchs/hus/data-finder.htm?subject=Leading+causes+of+death
- http://www.cdc.gov/nchs/pressroom/calendar/2021_schedule.htm
- http://www.cdc.gov/tobacco/campaign/tips/spanish/dejar-fumar/medicamentos/que-medicamento-es-adecuado-para-usted/sin-medicamentos.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 <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
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6325a4.htm?s_cid=mm6325a4_w
- https://www.cdc.gov/nchs/hus/data-finder.htm?subject=Mental+health
- http://www.cdc.gov/nchs/pressroom/calendar/2026_schedule.htm

---

## Buttons must have discernible text (WCAG 4.1.2)

**Bug ID:** `VS-7317f571`  
**Pattern ID:** `VS-e7298c00`  
**URL:** http://www.cdc.gov/hiv/treatment/index.html  
**XPath / selector:** `#search__icon`  
**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:** 1 instances; 1 of 1948 pages affected
  
**History:** first seen 2026-W26, last seen 2026-W40 (12 weeks)

### HTML snippet
```html
<button id="search__icon" class="c-search__icon"></button>
```

### Description
Buttons must have discernible text. Detected by axe-core rule button-name on 1 of 1948 scanned pages (1 instances).

### Steps to reproduce
1. Open http://www.cdc.gov/hiv/treatment/index.html.
2. Locate the element: #search__icon
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
- http://www.cdc.gov/hiv/treatment/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:** 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

---

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

**Bug ID:** `VS-0328a753`  
**Pattern ID:** `VS-3f76c7ea`  
**URL:** http://www.cdc.gov/heads-up/guidelines/returning-to-school.html  
**XPath / selector:** `div[data-yt-id="ZBcP08zEXLA"] > iframe[allowfullscreen="allowfullscreen"][title=""]`  
**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:** 57 instances; 28 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

### HTML snippet
```html
<iframe src="//www.youtube-nocookie.com/embed/ZBcP08zEXLA?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 28 of 1948 scanned pages (57 instances).

### Steps to reproduce
1. Open http://www.cdc.gov/heads-up/guidelines/returning-to-school.html.
2. Locate the element: div[data-yt-id="ZBcP08zEXLA"] > iframe[allowfullscreen="allowfullscreen"][title=""]
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
- http://www.cdc.gov/heads-up/guidelines/returning-to-school.html
- https://www.cdc.gov/coca/hcp/trainings/ah5n1-virus-clinicians-healthcare-centers.html
- https://www.cdc.gov/stophivtogether/prepared/index.html?s_cid=so_togetherconsumertk0349
- https://www.cdc.gov/stophivtogether/spanish/preparado/index.html?s_cid=so_togetherconsumertk0358
- https://www.cdc.gov/stophivtogether/prepared/index.html
- https://www.cdc.gov/stophivtogether/hiv-stigma/index.html?s_cid=so_togetherconsumertk0339
- http://www.cdc.gov/maternal-mortality/php/erase-mm/index.html
- https://www.cdc.gov/drugresistance/covid19.html
- https://www.cdc.gov/stophivtogether/hiv-treatment/index.html?s_cid=so_togetherconsumertk0193
- http://www.cdc.gov/advanced-molecular-detection/php/training/module-1-4.html
- http://www.cdc.gov/fungal/php/guidance-investigating-outbreaks/mold-healthcare.html
- https://www.cdc.gov/cancer/es/features/cancer-prevention-starts-in-childhood.html
- http://www.cdc.gov/hiv/treatment/index.html
- https://www.cdc.gov/stophivtogether/hiv-stigma/index.html?s_cid=so_togetherconsumertk0192
- http://www.cdc.gov/intimate-partner-violence/php/datingmatters/index.html
- https://www.cdc.gov/global-health-ieta/php/communication-resources/ieta-alumni-videos.html
- http://www.cdc.gov/cancer/prevention/healthy-choices.html
- https://www.cdc.gov/stophivtogether/hiv-testing/self-testing.html?s_cid=so_togetherconsumertk0294
- https://www.cdc.gov/parenting-teens/tips-praising-teens/index.html
- http://www.cdc.gov/health-equity-chronic-disease/work-in-action/index.html
- https://www.cdc.gov/think-test-treat-tb/about/index.html
- https://www.cdc.gov/hemophilia-community-counts/php/training/data-visualization-tool.html
- https://www.cdc.gov/HIVTreatment?s_cid=so_togetherconsumertk0312
- https://www.cdc.gov/blood-clots/risk-factors/pregnancy.html
- http://www.cdc.gov/cancer-preventing-infections/patients/clean-hands.html

…and more — 28 pages total ([download CSV](csv/axe-core__frame-title.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 <iframe> a descriptive title attribute.

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

### Example pages
- http://www.cdc.gov/heads-up/guidelines/returning-to-school.html
- https://www.cdc.gov/coca/hcp/trainings/ah5n1-virus-clinicians-healthcare-centers.html
- https://www.cdc.gov/stophivtogether/prepared/index.html?s_cid=so_togetherconsumertk0349

---

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

**Bug ID:** `VS-d92a475f`  
**Pattern ID:** `VS-5c82bd60`  
**URL:** http://www.cdc.gov/hepatitis-surveillance-2023/hepatitis-c/figure-3-8.html  
**XPath / selector:** `th[aria-labelledby=":r3:-heading-0"] > .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:** 208 instances; 10 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 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 10 of 1948 scanned pages (208 instances).

### Steps to reproduce
1. Open http://www.cdc.gov/hepatitis-surveillance-2023/hepatitis-c/figure-3-8.html.
2. Locate the element: th[aria-labelledby=":r3:-heading-0"] > .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
- http://www.cdc.gov/hepatitis-surveillance-2023/hepatitis-c/figure-3-8.html
- https://www.cdc.gov/hepatitis-surveillance-2022/hepatitis-b/figure-2-6.html
- http://www.cdc.gov/hepatitis/php/npr-2023/hep-c-reduce-infections.html
- https://www.cdc.gov/hepatitis/statistics/2021surveillance/hepatitis-a/figure-1.6.htm
- https://www.cdc.gov/hepatitis-surveillance-2022/perinatal-hepatitis-b/figure-4-1.html
- http://www.cdc.gov/hepatitis-surveillance-2022/hepatitis-c/figure-3-7.html
- https://www.cdc.gov/hepatitis/php/npr-2024/hep-b-reduce-deaths-api.html
- https://www.cdc.gov/ncbddd/birthdefects/data.html
- https://www.cdc.gov/hepatitis/statistics/2021surveillance/hepatitis-b/figure-2.4.htm
- http://www.cdc.gov/hepatitis/php/npr-2023/hep-b-reduce-deaths-api.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
- http://www.cdc.gov/hepatitis-surveillance-2023/hepatitis-c/figure-3-8.html
- https://www.cdc.gov/hepatitis-surveillance-2022/hepatitis-b/figure-2-6.html
- http://www.cdc.gov/hepatitis/php/npr-2023/hep-c-reduce-infections.html

---

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

**Bug ID:** `VS-1a005c61`  
**Pattern ID:** `VS-58301a87`  
**URL:** http://www.cdc.gov/nchs/products/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:** 34 instances; 9 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 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 9 of 1948 scanned pages (34 instances).

### Steps to reproduce
1. Open http://www.cdc.gov/nchs/products/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
- http://www.cdc.gov/nchs/products/vsrr.htm
- https://www.cdc.gov/tobacco/campaign/tips/spanish/poblaciones/indoamericanos-o-nativos-de-alaska.html
- https://www.cdc.gov/stophivtogether/hiv-treatment/index.html?s_cid=so_togetherconsumertk0193
- http://www.cdc.gov/tobacco/campaign/tips/groups/general-public.html
- https://www.cdc.gov/ncbddd/birthdefects/data.html
- https://www.cdc.gov/niosh/npptl/topics/respirators/cel
- http://www.cdc.gov/tb/statistics/reports/2022/outcomes.htm
- https://www.cdc.gov/stophivtogether/hiv-testing/self-testing.html?s_cid=so_togetherconsumertk0294
- https://www.cdc.gov/HIVTreatment?s_cid=so_togetherconsumertk0312

### 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
- http://www.cdc.gov/nchs/products/vsrr.htm
- https://www.cdc.gov/tobacco/campaign/tips/spanish/poblaciones/indoamericanos-o-nativos-de-alaska.html
- https://www.cdc.gov/stophivtogether/hiv-treatment/index.html?s_cid=so_togetherconsumertk0193

---

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

**Bug ID:** `VS-72f380af`  
**Pattern ID:** `VS-ebb1c464`  
**URL:** https://www.cdc.gov/stophivtogether/hiv-stigma/index.html?s_cid=so_togetherconsumertk0339  
**XPath / selector:** `#UNIQUE68967b4f71ad16a3`  
**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:** 6 instances; 6 of 1948 pages affected
  
**History:** first seen 2026-W28, last seen 2026-W40 (11 weeks)

### HTML snippet
```html
<div class="cdc-card-slider cdc-video-slider slick-initialized slick-slider cdc-carousel-slider" id="UNIQUE68967b4f71ad16a3" aria-label="Carousel">
```

### Description
Elements must only use permitted ARIA attributes. Detected by axe-core rule aria-prohibited-attr on 6 of 1948 scanned pages (6 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/stophivtogether/hiv-stigma/index.html?s_cid=so_togetherconsumertk0339.
2. Locate the element: #UNIQUE68967b4f71ad16a3
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/stophivtogether/hiv-stigma/index.html?s_cid=so_togetherconsumertk0339
- https://www.cdc.gov/stophivtogether/hiv-treatment/index.html?s_cid=so_togetherconsumertk0193
- https://www.cdc.gov/stophivtogether/hiv-stigma/index.html?s_cid=so_togetherconsumertk0192
- https://www.cdc.gov/stophivtogether/hiv-testing/self-testing.html?s_cid=so_togetherconsumertk0294
- https://www.cdc.gov/HIVTreatment?s_cid=so_togetherconsumertk0312
- https://www.cdc.gov/stophivtogether/hiv-testing/index.html?s_cid=so_togetherconsumertk0296

### 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/stophivtogether/hiv-stigma/index.html?s_cid=so_togetherconsumertk0339
- https://www.cdc.gov/stophivtogether/hiv-treatment/index.html?s_cid=so_togetherconsumertk0193
- https://www.cdc.gov/stophivtogether/hiv-stigma/index.html?s_cid=so_togetherconsumertk0192

---

## Form field has accessible name (WCAG 4.1.2)

**Bug ID:** `VS-63d67050`  
**Pattern ID:** `VS-a48e6078`  
**URL:** http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6150a2.htm?s_cid=mm6150a2_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:** 24 instances; 23 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

### Description
Form field has accessible name. Detected by Siteimprove Alfa rule sia-r8 on 23 of 1948 scanned pages (24 instances).

### Steps to reproduce
1. Open http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6150a2.htm?s_cid=mm6150a2_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/mm6150a2.htm?s_cid=mm6150a2_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5943a4.htm?s_cid=mm5943a4_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6248a3.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6249a5.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6007a1.htm?s_cid=mm6007a1_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6003a1.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6021a3.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6325a4.htm?s_cid=mm6325a4_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6044a6.htm?s_cid=mm6044a6_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6441a5.htm?s_cid=mm6441a5_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6009a4.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6408a3.htm?s_cid=mm6408a3_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6421md.htm?s_cid=mm6421md_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5908a4.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6128a1.htm?s_cid=mm6128a1_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6001a3.htm?s_cid=mm6001a3_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6425a8.htm?s_cid=mm6425a8_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6207a4.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6407a4.htm?s_cid=mm6407a4_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6104a4.htm?s_cid=mm6104a4_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6026a3.htm?s_cid=mm6026a3_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6148a5.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6246a6.htm

### 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/mm6150a2.htm?s_cid=mm6150a2_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5943a4.htm?s_cid=mm5943a4_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6248a3.htm

---

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

**Bug ID:** `VS-d86a967c`  
**Pattern ID:** `VS-a2a3dffb`  
**URL:** http://www.cdc.gov/nchs/products/vsrr.htm  
**XPath / selector:** `<div aria-labelledby="accordion-1-card-1" class="collapse d-print-block show " id="accordion-1-collapse-1" role="tab">`  
**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:** 19 instances; 6 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (16 weeks)

### Description
Component with same name serves same purpose. Detected by Siteimprove Alfa rule sia-r90 on 6 of 1948 scanned pages (19 instances).

### Steps to reproduce
1. Open http://www.cdc.gov/nchs/products/vsrr.htm.
2. Locate the element: <div aria-labelledby="accordion-1-card-1" class="collapse d-print-block show " id="accordion-1-collapse-1" role="tab">
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/nchs/products/vsrr.htm
- https://www.cdc.gov/tobacco/campaign/tips/spanish/poblaciones/indoamericanos-o-nativos-de-alaska.html
- https://www.cdc.gov/stophivtogether/hiv-treatment/index.html?s_cid=so_togetherconsumertk0193
- http://www.cdc.gov/tobacco/campaign/tips/groups/general-public.html
- https://www.cdc.gov/ncbddd/birthdefects/data.html
- https://www.cdc.gov/stophivtogether/hiv-testing/self-testing.html?s_cid=so_togetherconsumertk0294

### 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/nchs/products/vsrr.htm
- https://www.cdc.gov/tobacco/campaign/tips/spanish/poblaciones/indoamericanos-o-nativos-de-alaska.html
- https://www.cdc.gov/stophivtogether/hiv-treatment/index.html?s_cid=so_togetherconsumertk0193

---

## Button has accessible name (WCAG 4.1.2)

**Bug ID:** `VS-2b955935`  
**Pattern ID:** `VS-29f9f921`  
**URL:** https://www.cdc.gov/hepatitis/statistics/2021surveillance/hepatitis-a/figure-1.6.htm  
**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:** 22 instances; 4 of 1948 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W40 (16 weeks)

### Description
Button has accessible name. Detected by Siteimprove Alfa rule sia-r12 on 4 of 1948 scanned pages (22 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/hepatitis/statistics/2021surveillance/hepatitis-a/figure-1.6.htm.
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/hepatitis/statistics/2021surveillance/hepatitis-a/figure-1.6.htm
- https://www.cdc.gov/stophivtogether/hiv-treatment/index.html?s_cid=so_togetherconsumertk0193
- https://www.cdc.gov/ncbddd/birthdefects/data.html
- https://www.cdc.gov/stophivtogether/hiv-testing/self-testing.html?s_cid=so_togetherconsumertk0294

### 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/hepatitis/statistics/2021surveillance/hepatitis-a/figure-1.6.htm
- https://www.cdc.gov/stophivtogether/hiv-treatment/index.html?s_cid=so_togetherconsumertk0193
- https://www.cdc.gov/ncbddd/birthdefects/data.html

---

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

**Bug ID:** `VS-a1249b15`  
**Pattern ID:** `VS-be8d563e`  
**URL:** https://www.cdc.gov/mmwr/preview/mmwrhtml/00000450.htm  
**XPath / selector:** `a[name="content_area"] > font[color="red"]`  
**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:** 474 instances; 309 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 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: </font>
```

### Description
Elements must meet minimum color contrast ratio thresholds. Detected by axe-core rule color-contrast on 309 of 1948 scanned pages (474 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/mmwr/preview/mmwrhtml/00000450.htm.
2. Locate the element: a[name="content_area"] > font[color="red"]
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
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00000450.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00056637.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6118a8.htm?s_cid=mm6118a8_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00000283.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00053877.htm
- https://www.cdc.gov/pcd/issues/2013/13_0143.htm
- https://www.cdc.gov/pcd/issues/2013/12_0096.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5022a3.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00038946.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6040a8.htm?s_cid=mm6040a8_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5050a3.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6150a2.htm?s_cid=mm6150a2_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5709a3.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00051486.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00000230.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5319a2.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5943a4.htm?s_cid=mm5943a4_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5613a5.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5407a5.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/su6004a9.htm?s_cid=su6004a9_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5433a2.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6046a6.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5639md.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5446md.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5401a2.htm

…and more — 309 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
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00000450.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00056637.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6118a8.htm?s_cid=mm6118a8_w

---

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

**Bug ID:** `VS-36c43a15`  
**Pattern ID:** `VS-f7e99f4b`  
**URL:** https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/cryptococcosis  
**XPath / selector:** `text: "
						Health Topics					"`  
**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:** 837 instances; 154 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

### Description
Text has sufficient color contrast (Enhanced). Detected by Siteimprove Alfa rule sia-r69 on 154 of 1948 scanned pages (837 instances).

### Steps to reproduce
1. Open https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/cryptococcosis.
2. Locate the element: text: "
						Health Topics					"
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://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/cryptococcosis
- https://www.cdc.gov/media/releases/2025/2025-certain-metabolic-meals-home-delivery-foods-reported-in-ongoing-salmonella-outbreak-investigation.html
- http://www.cdc.gov/nora/councils/construction.html
- https://www.cdc.gov/diabetes/treatment/type-1-diabetes-early-treatment.html
- https://www.cdc.gov/active-communities-tool/php/about
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/vaccines/hcp/imz-schedules/index.html
- https://www.cdc.gov/niosh/silica/exposure/index.html
- https://www.cdc.gov/nchs/nhanes/about-data/index.html
- https://www.cdc.gov/readiness/php/data-research/texas-funding.html
- http://www.cdc.gov/diabetes/es/diabetes-complications/la-diabetes-y-la-salud-oral.html
- https://cdc.gov/immigrant-refugee-health/about/cdc-role-in-immigration.html
- https://www.cdc.gov/urdo/php/interventions/index.html
- http://www.cdc.gov/nchs/updates/index.html
- http://www.cdc.gov/volcanoes/safety/protecting-yourself-during-a-volcanic-eruption-safety.html
- https://www.cdc.gov/disability-inclusion/about/index.html
- https://www.cdc.gov/tb/stories/khayr.html
- https://www.cdc.gov/phlp/php/trainingandeducationalresources/public-health-law-101.html
- http://www.cdc.gov/niosh/twh/php/symposium/index.html
- https://www.cdc.gov/histoplasmosis/stories/kens-story-histoplasmosis.html
- http://www.cdc.gov/cancer/es/prevention/index.html
- http://www.cdc.gov/healthy-swimming/es/prevention/preventing-eye-irritation-from-pool-chemicals.html
- http://www.cdc.gov/tb/about/children.html
- https://www.cdc.gov/vaccines/hcp/by-disease/polio.html
- https://www.cdc.gov/fluvaxview/coverage-by-season/pregnant-2022-2023.html
- http://www.cdc.gov/vaccine-safety-systems/about/cdc-monitoring-program.html

…and more — 154 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://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/cryptococcosis
- https://www.cdc.gov/media/releases/2025/2025-certain-metabolic-meals-home-delivery-foods-reported-in-ongoing-salmonella-outbreak-investigation.html
- http://www.cdc.gov/nora/councils/construction.html

---

## Text has enhanced contrast (WCAG 1.4.6)

**Bug ID:** `VS-af32558f`  
**Pattern ID:** `VS-646b1e0b`  
**URL:** https://www.cdc.gov/niosh/publications/es/numbered/2006-110sp.html  
**XPath / selector:** `text: "
					Así es como usted puede verificarlo
					"`  
**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:** 10203 instances; 355 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

### Description
Text has enhanced contrast. Detected by Siteimprove Alfa rule sia-r66 on 355 of 1948 scanned pages (10203 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/niosh/publications/es/numbered/2006-110sp.html.
2. Locate the element: text: "
					Así es como usted puede verificarlo
					"
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/niosh/publications/es/numbered/2006-110sp.html
- https://www.cdc.gov/mmwr/volumes/72/wr/mm7216a1.htm?s_cid=mm7216a1_w
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/cryptococcosis
- https://www.cdc.gov/pcd/issues/2013/12_0096.htm
- https://www.cdc.gov/media/releases/2025/2025-certain-metabolic-meals-home-delivery-foods-reported-in-ongoing-salmonella-outbreak-investigation.html
- http://www.cdc.gov/nora/councils/construction.html
- https://www.cdc.gov/niosh/docs/96-110
- https://www.cdc.gov/diabetes/treatment/type-1-diabetes-early-treatment.html
- https://www.cdc.gov/pcd/issues/2004/jan/03_0012.htm
- https://www.cdc.gov/active-communities-tool/php/about
- http://www.cdc.gov/niosh/docs/2013-150
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/vaccines/hcp/imz-schedules/index.html
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6150a2.htm?s_cid=mm6150a2_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5943a4.htm?s_cid=mm5943a4_w
- https://www.cdc.gov/niosh/silica/exposure/index.html
- http://www.cdc.gov/niosh/npg/npgd0407.html
- http://www.cdc.gov/niosh/npg/npgd0409.html
- https://www.cdc.gov/nchs/nhanes/about-data/index.html
- https://www.cdc.gov/az/j.html
- http://www.cdc.gov/pcd/issues/2008/apr/07_0241.htm
- https://www.cdc.gov/readiness/php/data-research/texas-funding.html
- http://www.cdc.gov/diabetes/es/diabetes-complications/la-diabetes-y-la-salud-oral.html
- https://cdc.gov/immigrant-refugee-health/about/cdc-role-in-immigration.html
- https://www.cdc.gov/urdo/php/interventions/index.html
- https://www.cdc.gov/prams/site.html

…and more — 355 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/niosh/publications/es/numbered/2006-110sp.html
- https://www.cdc.gov/mmwr/volumes/72/wr/mm7216a1.htm?s_cid=mm7216a1_w
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/cryptococcosis

---

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

**Bug ID:** `VS-1fe90707`  
**Pattern ID:** `VS-fbf54eba`  
**URL:** https://www.cdc.gov/niosh/publications/es/numbered/2006-110sp.html  
**XPath / selector:** `<p class="cdc-footer__super-desc">`  
**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:** 935 instances; 192 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

### Description
Link is distinguishable without relying on color. Detected by Siteimprove Alfa rule sia-r74 on 192 of 1948 scanned pages (935 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/niosh/publications/es/numbered/2006-110sp.html.
2. Locate the element: <p class="cdc-footer__super-desc">
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/niosh/publications/es/numbered/2006-110sp.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/cryptococcosis
- https://www.cdc.gov/pcd/issues/2013/12_0096.htm
- http://www.cdc.gov/nora/councils/construction.html
- https://www.cdc.gov/niosh/docs/96-110
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5050a3.htm
- https://www.cdc.gov/pcd/issues/2004/jan/03_0012.htm
- http://www.cdc.gov/niosh/docs/2013-150
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/vaccines/hcp/imz-schedules/index.html
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6150a2.htm?s_cid=mm6150a2_w
- https://www.cdc.gov/niosh/silica/exposure/index.html
- https://www.cdc.gov/nchs/nhanes/about-data/index.html
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5639md.htm
- http://www.cdc.gov/pcd/issues/2008/apr/07_0241.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5446md.htm
- https://cdc.gov/immigrant-refugee-health/about/cdc-role-in-immigration.html
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00017197.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5217a1.htm
- http://www.cdc.gov/niosh/publications/numbered/97-120.html
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6248a3.htm
- http://www.cdc.gov/niosh/docs/2011-145
- http://www.cdc.gov/PCD/issues/2009/jul/09_0017.htm
- http://www.cdc.gov/niosh/docs/mining/works/coversheet45.html
- https://www.cdc.gov/niosh/publications/numbered/2018-153.html
- http://www.cdc.gov/niosh/twh/php/symposium/index.html

…and more — 192 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/niosh/publications/es/numbered/2006-110sp.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/cryptococcosis
- https://www.cdc.gov/pcd/issues/2013/12_0096.htm

---

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

**Bug ID:** `VS-71e51e33`  
**Pattern ID:** `VS-2208081b`  
**URL:** https://www.cdc.gov/pcd/issues/2013/12_0096.htm  
**XPath / selector:** `<p>`  
**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:** 21730 instances; 130 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

### Description
Text has minimum contrast ratio of 4.5:1. Detected by Siteimprove Alfa rule sia-r73 on 130 of 1948 scanned pages (21730 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/pcd/issues/2013/12_0096.htm.
2. Locate the element: <p>
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/pcd/issues/2013/12_0096.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5050a3.htm
- https://www.cdc.gov/pcd/issues/2004/jan/03_0012.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6150a2.htm?s_cid=mm6150a2_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5943a4.htm?s_cid=mm5943a4_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5639md.htm
- http://www.cdc.gov/pcd/issues/2008/apr/07_0241.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5446md.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00017197.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5217a1.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6248a3.htm
- http://www.cdc.gov/PCD/issues/2009/jul/09_0017.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00000804.htm
- https://www.cdc.gov/pcd/issues/2022/22_0028.htm
- http://www.cdc.gov/PCD/issues/2011/may/10_0045_es.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00015325.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm4924a3.htm
- http://www.cdc.gov/pcd/issues/2006/jul/05_0138_es.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5014a1.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5614a4.htm
- https://www.cdc.gov/pcd/issues/2025/24_0381a.htm
- https://www.cdc.gov/mmwr/volumes/65/wr/mm6536e2.htm?s_cid=mm6536e2_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00014545.htm
- https://www.cdc.gov/pcd/issues/2007/oct/07_0080_es.htm
- https://www.cdc.gov/pcd/issues/2005/apr/04_0142o_zht.htm

…and more — 130 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/pcd/issues/2013/12_0096.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5050a3.htm
- https://www.cdc.gov/pcd/issues/2004/jan/03_0012.htm

---

## Scrollable element is keyboard accessible (WCAG 1.4.8)

**Bug ID:** `VS-ea964408`  
**Pattern ID:** `VS-388b5438`  
**URL:** https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/cryptococcosis  
**XPath / selector:** `<p>`  
**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:** 44 instances; 27 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (15 weeks)

### Description
Scrollable element is keyboard accessible. Detected by Siteimprove Alfa rule sia-r80 on 27 of 1948 scanned pages (44 instances).

### Steps to reproduce
1. Open https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/cryptococcosis.
2. Locate the element: <p>
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
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/cryptococcosis
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/vaccines/hcp/imz-schedules/index.html
- https://cdc.gov/immigrant-refugee-health/about/cdc-role-in-immigration.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/heart-disease/about/heart-valve-disease.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/nchs/nhis/early-release/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/food-safety/foods/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/bird-flu/caring/infected-birds-exposure.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/vaccine-safety-systems/resources/vaers-brochure-hcp.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/handhygiene/video/Educate-TranscriptTXT.txt
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/clean-hands/hcp/training/Cdiff-Course.html
- https://cdc.gov/group-a-strep/about/strep-throat.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/mmwr/indrr_2024.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/chagas/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/mmwr/volumes/75/rr/rr7501a1.htm?s_cid=OS_rr7501a1_w
- http://www.cdc.gov/nchs/nvss/index.htm
- https://cdc.gov/media/releases/2026/cdc-launches-new-overdose-prevention-data-channel.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/bird-flu/php/novel-av-chemoprophylaxis-guidance
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/bird-flu/php/technical-report/h5n1-122923.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/flu/prevention/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/mmwr/va-search/visualAbstract.htm?Sort=Date%3A%3Adesc
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/salmonella/spread/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/port-health/travel-restrictions/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/vaccines/basics/how-developed-approved.html
- https://cdc.gov/hepatitis/php/npr-2023/hep-c-reduce-infections.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/wee/about/index.html

…and more — 27 pages total ([download CSV](csv/alfa__sia-r80.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-r80

### Example pages
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/cryptococcosis
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/vaccines/hcp/imz-schedules/index.html
- https://cdc.gov/immigrant-refugee-health/about/cdc-role-in-immigration.html

---

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

**Bug ID:** `VS-e6b7f71f`  
**Pattern ID:** `VS-cb53cc4d`  
**URL:** https://www.cdc.gov/niosh/publications/es/numbered/2006-110sp.html  
**XPath / selector:** `<a class="cdc-header__title-super" href="/niosh/index.html">`  
**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:** 12037 instances; 416 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

### Description
Target size is at least 44×44 CSS pixels (Enhanced). Detected by Siteimprove Alfa rule sia-r111 on 416 of 1948 scanned pages (12037 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/niosh/publications/es/numbered/2006-110sp.html.
2. Locate the element: <a class="cdc-header__title-super" href="/niosh/index.html">
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/niosh/publications/es/numbered/2006-110sp.html
- https://www.cdc.gov/mmwr/volumes/72/wr/mm7216a1.htm?s_cid=mm7216a1_w
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/cryptococcosis
- https://www.cdc.gov/pcd/issues/2013/12_0096.htm
- https://www.cdc.gov/media/releases/2025/2025-certain-metabolic-meals-home-delivery-foods-reported-in-ongoing-salmonella-outbreak-investigation.html
- http://www.cdc.gov/nora/councils/construction.html
- https://www.cdc.gov/niosh/docs/96-110
- https://www.cdc.gov/diabetes/treatment/type-1-diabetes-early-treatment.html
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5050a3.htm
- https://www.cdc.gov/pcd/issues/2004/jan/03_0012.htm
- https://www.cdc.gov/active-communities-tool/php/about
- http://www.cdc.gov/niosh/docs/2013-150
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/vaccines/hcp/imz-schedules/index.html
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6150a2.htm?s_cid=mm6150a2_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5943a4.htm?s_cid=mm5943a4_w
- https://www.cdc.gov/niosh/silica/exposure/index.html
- http://www.cdc.gov/niosh/npg/npgd0407.html
- http://www.cdc.gov/niosh/npg/npgd0409.html
- https://www.cdc.gov/nchs/nhanes/about-data/index.html
- https://www.cdc.gov/az/j.html
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5639md.htm
- http://www.cdc.gov/pcd/issues/2008/apr/07_0241.htm
- https://www.cdc.gov/readiness/php/data-research/texas-funding.html
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5446md.htm
- http://www.cdc.gov/diabetes/es/diabetes-complications/la-diabetes-y-la-salud-oral.html

…and more — 416 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/niosh/publications/es/numbered/2006-110sp.html
- https://www.cdc.gov/mmwr/volumes/72/wr/mm7216a1.htm?s_cid=mm7216a1_w
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/cryptococcosis

---

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

**Bug ID:** `VS-ab1cac91`  
**Pattern ID:** `VS-f18df681`  
**URL:** http://www.cdc.gov/niosh/bulletin/2017/miners-cardio.html  
**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:** 12172 instances; 1692 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

### HTML snippet
```html
<div class="cdc-site-gov-notice noindex noprint" aria-label="Official website of the United States government">
```

### Description
All page content should be contained by landmarks. Detected by axe-core rule region on 1692 of 1948 scanned pages (12172 instances).

### Steps to reproduce
1. Open http://www.cdc.gov/niosh/bulletin/2017/miners-cardio.html.
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
- http://www.cdc.gov/niosh/bulletin/2017/miners-cardio.html
- http://www.cdc.gov/niosh/bulletin/2020/hearing-loss-construction.html
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00000450.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00056637.htm
- http://www.cdc.gov/pcd/issues/2007/apr/06_0073a.htm
- https://www.cdc.gov/diabetes/es/caring/manejo-de-la-diabetes-en-la-escuela.html
- http://www.cdc.gov/pcd/issues/2006/oct/05_0243_zhs.htm
- http://www.cdc.gov/healthcare-associated-infections/php/preventing-mdros/mdro-prevention-strategies.html
- http://www.cdc.gov/nchs/products/misc_pubs.htm
- https://www.cdc.gov/acute-bronchitis/about/index.html
- http://www.cdc.gov/pcd/issues/2011/nov/10_0197_es.htm
- http://www.cdc.gov/nchs/nvss/nmfs.htm
- https://www.cdc.gov/grants/applying/eligibility.html
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6118a8.htm?s_cid=mm6118a8_w
- http://www.cdc.gov/hepatitis-surveillance-prevention/php/about
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00000283.htm
- http://www.cdc.gov/asthma/brfss/07/brfsschildtechinfo.htm
- https://www.cdc.gov/oral-health/data-research/facts-stats/index.html
- http://www.cdc.gov/vaccines/hcp/by-disease/hib.html
- https://www.cdc.gov/colorectal-cancer-hereditary/es/stories/sindrome-de-lynch-historias-de-familias.html
- https://www.cdc.gov/niosh/publications/es/numbered/2006-110sp.html
- http://www.cdc.gov/heads-up/guidelines/returning-to-school.html
- http://www.cdc.gov/lyme/communication-resources/burden-graphics.html
- https://www.cdc.gov/vaccines-children/es/records/como-llevar-registros.html
- http://www.cdc.gov/niosh-rtecs/SAC5C10.html

…and more — 1692 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
- http://www.cdc.gov/niosh/bulletin/2017/miners-cardio.html
- http://www.cdc.gov/niosh/bulletin/2020/hearing-loss-construction.html
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00000450.htm

---

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

**Bug ID:** `VS-71d45604`  
**Pattern ID:** `VS-33841929`  
**URL:** http://www.cdc.gov/pcd/issues/2006/oct/05_0243_zhs.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:** 95 instances; 95 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

### HTML snippet
```html
<input class="smallfield" type="text" name="email" size="15" title="插入电子邮件" value="插入电子邮件" onfocus="this.value=''">
```

### Description
Form elements should have a visible label. Detected by axe-core rule label-title-only on 95 of 1948 scanned pages (95 instances).

### Steps to reproduce
1. Open http://www.cdc.gov/pcd/issues/2006/oct/05_0243_zhs.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
- http://www.cdc.gov/pcd/issues/2006/oct/05_0243_zhs.htm
- http://www.cdc.gov/pcd/issues/2011/nov/10_0197_es.htm
- http://www.cdc.gov/pcd/issues/2009/jan/07_0242_zhs.htm
- http://www.cdc.gov/pcd/issues/2010/mar/09_0095_es.htm
- https://www.cdc.gov/pcd/issues/2004/jan/03_0012.htm
- http://www.cdc.gov/pcd/issues/2009/jan/08_0020_fr.htm
- http://www.cdc.gov/pcd/issues/2006/jul/05_0173_fr.htm
- http://www.cdc.gov/pcd/issues/2006/jan/05_0077_fr.htm
- http://www.cdc.gov/PCD/issues/2010/may/09_0164.htm
- http://www.cdc.gov/pcd/issues/2005/apr/04_0139_zhs.htm
- http://www.cdc.gov/pcd/issues/2008/apr/07_0241.htm
- https://www.cdc.gov/pcd/issues/2005/apr/04_0139.htm
- http://www.cdc.gov/pcd/issues/2007/oct/07_0091_fr.htm
- https://www.cdc.gov/pcd/issues/2005/apr/04_0142n.htm
- http://www.cdc.gov/PCD/issues/2006/apr/05_0091.htm
- http://www.cdc.gov/PCD/issues/2010/jul/09_0175.htm
- http://www.cdc.gov/PCD/issues/2009/jul/09_0017.htm
- http://www.cdc.gov/pcd/issues/2006/jan/05_0129_zht.htm
- https://www.cdc.gov/pcd/issues/2008/jul/07_0077.htm
- https://www.cdc.gov/pcd/issues/2008/apr/07_0045.htm
- http://www.cdc.gov/PCD/issues/2011/may/10_0091_es.htm
- https://www.cdc.gov/pcd/issues/2007/oct/06_0155_zht.htm
- http://www.cdc.gov/pcd/issues/2008/apr/06_0186_zhs.htm
- http://www.cdc.gov/PCD/issues/2011/may/10_0045_es.htm
- http://www.cdc.gov/pcd/issues/2009/jan/07_0272_zht.htm

…and more — 95 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
- http://www.cdc.gov/pcd/issues/2006/oct/05_0243_zhs.htm
- http://www.cdc.gov/pcd/issues/2011/nov/10_0197_es.htm
- http://www.cdc.gov/pcd/issues/2009/jan/07_0242_zhs.htm

---

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

**Bug ID:** `VS-22c3bb98`  
**Pattern ID:** `VS-7430f84c`  
**URL:** https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/viral-hemorrhagic-fevers/hcp/diagnosis-testing/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:** 279 instances; 93 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (9 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 93 of 1948 scanned pages (279 instances).

### Steps to reproduce
1. Open https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/viral-hemorrhagic-fevers/hcp/diagnosis-testing/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://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/viral-hemorrhagic-fevers/hcp/diagnosis-testing/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/cryptococcosis
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/mumps/hcp/clinical-signs/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/vaccines/hcp/imz-schedules/index.html
- https://cdc.gov/hepatitis/php/npr-2025/hep-c-reduce-deaths-aian.html
- https://cdc.gov/immigrant-refugee-health/about/cdc-role-in-immigration.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/vaccines/hcp/current-vis/ebola.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/media/es/releases/m1022-ecoli-hamburguesas.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/bird-flu/about/avian-influenza-type-a.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/anaplasmosis/hcp/statistics/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/heart-disease/about/heart-valve-disease.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/meningococcal/es/vaccines/vacunas-recomendadas-para-preadolescentes-y-adolescentes.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/nchs/nhis/early-release/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/flu-in-animals/about/canine-flu.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/listeria/outbreaks/ready-to-eat-foods-may-2025/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/food-safety/foods/index.html
- https://cdc.gov/hepatitis-b/public-resources/are-you-at-risk-flyer.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/group-a-strep/hcp/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/bird-flu/communication-resources/remove-ppe-high-exposure.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/brfss/state_info/index.htm
- https://cdc.gov/hepatitis/php/npr-2024/hep-c-reduce-deaths-aian.html
- https://cdc.gov/surv-manual/php/table-of-contents/chapter-22-laboratory-support.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/vaccines/php/events/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/flu-vaccines-work/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/iis/annual-report-iisar/index.html

…and more — 93 pages total ([download CSV](csv/axe-core__tabindex.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:** 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://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/viral-hemorrhagic-fevers/hcp/diagnosis-testing/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/cryptococcosis
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/mumps/hcp/clinical-signs/index.html

---

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

**Bug ID:** `VS-ce104c6a`  
**Pattern ID:** `VS-8806389c`  
**URL:** http://www.cdc.gov/niosh/bulletin/2017/miners-cardio.html  
**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:** 778 instances; 584 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 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 584 of 1948 scanned pages (778 instances).

### Steps to reproduce
1. Open http://www.cdc.gov/niosh/bulletin/2017/miners-cardio.html.
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
- http://www.cdc.gov/niosh/bulletin/2017/miners-cardio.html
- http://www.cdc.gov/niosh/bulletin/2020/hearing-loss-construction.html
- https://www.cdc.gov/diabetes/es/caring/manejo-de-la-diabetes-en-la-escuela.html
- http://www.cdc.gov/healthcare-associated-infections/php/preventing-mdros/mdro-prevention-strategies.html
- https://www.cdc.gov/acute-bronchitis/about/index.html
- http://www.cdc.gov/hepatitis-surveillance-prevention/php/about
- http://www.cdc.gov/vaccines/hcp/by-disease/hib.html
- https://www.cdc.gov/colorectal-cancer-hereditary/es/stories/sindrome-de-lynch-historias-de-familias.html
- http://www.cdc.gov/heads-up/guidelines/returning-to-school.html
- https://www.cdc.gov/vaccines-children/es/records/como-llevar-registros.html
- https://www.cdc.gov/overdose-prevention/about/polysubstance-overdose.html
- https://www.cdc.gov/niosh/bulletin/2010/workplace-training.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/viral-hemorrhagic-fevers/hcp/diagnosis-testing/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/cryptococcosis
- https://www.cdc.gov/me-cfs/es/living-with/vivir-con-encefalomielitis-mialgica-sindrome-de-fatiga-cronica-em-sfc.html
- http://www.cdc.gov/port-health/php/airline-guidance/index.html
- http://www.cdc.gov/niosh/motor-vehicle/law-enforcement
- http://www.cdc.gov/nora/councils/construction.html
- https://www.cdc.gov/niosh/bulletin/2021/charts.html
- http://www.cdc.gov/physical-activity-basics/health-benefits/adults.html
- http://www.cdc.gov/global-immunization/about/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/mumps/hcp/clinical-signs/index.html
- https://www.cdc.gov/diabetes/treatment/type-1-diabetes-early-treatment.html
- https://www.cdc.gov/investigate-legionella/php/public-health-strategy/identifying-cooling-towers.html
- https://www.cdc.gov/active-communities-tool/php/about

…and more — 584 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
- http://www.cdc.gov/niosh/bulletin/2017/miners-cardio.html
- http://www.cdc.gov/niosh/bulletin/2020/hearing-loss-construction.html
- https://www.cdc.gov/diabetes/es/caring/manejo-de-la-diabetes-en-la-escuela.html

---

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

**Bug ID:** `VS-b1f93f77`  
**Pattern ID:** `VS-d25f622d`  
**URL:** https://www.cdc.gov/mmwr/preview/mmwrhtml/00000450.htm  
**XPath / selector:** `h3:nth-child(10)`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `heading-order` ([reference](https://dequeuniversity.com/rules/axe/4.12/heading-order?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 688 instances; 512 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

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

### Description
Heading levels should only increase by one. Detected by axe-core rule heading-order on 512 of 1948 scanned pages (688 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/mmwr/preview/mmwrhtml/00000450.htm.
2. Locate the element: h3:nth-child(10)
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/mmwr/preview/mmwrhtml/00000450.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00056637.htm
- http://www.cdc.gov/pcd/issues/2006/oct/05_0243_zhs.htm
- http://www.cdc.gov/pcd/issues/2011/nov/10_0197_es.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00000283.htm
- http://www.cdc.gov/asthma/brfss/07/brfsschildtechinfo.htm
- http://www.cdc.gov/niosh-rtecs/SAC5C10.html
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00053877.htm
- https://www.cdc.gov/pcd/issues/2013/13_0143.htm
- https://www.cdc.gov/mmwr/volumes/72/wr/mm7216a1.htm?s_cid=mm7216a1_w
- http://www.cdc.gov/pcd/issues/2009/jan/07_0242_zhs.htm
- https://www.cdc.gov/niosh/npg/npgd0233.html
- https://www.cdc.gov/pcd/issues/2013/12_0096.htm
- https://www.cdc.gov/mmwr/volumes/72/wr/mm7220a3.htm?s_cid=mm7220a3_w
- http://www.cdc.gov/nchs/products/databriefs/db555.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5022a3.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00038946.htm
- http://www.cdc.gov/pcd/issues/2010/mar/09_0095_es.htm
- https://www.cdc.gov/pcd/issues/2021/21_0159.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5050a3.htm
- http://www.cdc.gov/mmwr/volumes/73/wr/mm7329a3.htm?s_cid=mm7329a3_w
- https://www.cdc.gov/pcd/issues/2004/jan/03_0012.htm
- http://www.cdc.gov/pcd/issues/2009/jan/08_0020_fr.htm
- https://www.cdc.gov/niosh/npg/npgd0446.html
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00051486.htm

…and more — 512 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/mmwr/preview/mmwrhtml/00000450.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00056637.htm
- http://www.cdc.gov/pcd/issues/2006/oct/05_0243_zhs.htm

---

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

**Bug ID:** `VS-49b5acde`  
**Pattern ID:** `VS-d5d82446`  
**URL:** https://www.cdc.gov/mmwr/preview/mmwrhtml/00000450.htm  
**XPath / selector:** `html`  
**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:** 440 instances; 440 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

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

### Description
Document should have one main landmark. Detected by axe-core rule landmark-one-main on 440 of 1948 scanned pages (440 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/mmwr/preview/mmwrhtml/00000450.htm.
2. Locate the element: html
3. Confirm the axe-core finding for rule landmark-one-main.

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

### Affected pages
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00000450.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00056637.htm
- http://www.cdc.gov/pcd/issues/2007/apr/06_0073a.htm
- http://www.cdc.gov/pcd/issues/2006/oct/05_0243_zhs.htm
- http://www.cdc.gov/pcd/issues/2011/nov/10_0197_es.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6118a8.htm?s_cid=mm6118a8_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00000283.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6311a5.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00053877.htm
- https://www.cdc.gov/pcd/issues/2013/13_0143.htm
- http://www.cdc.gov/pcd/issues/2009/jan/07_0242_zhs.htm
- https://www.cdc.gov/pcd/issues/2013/12_0096.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5022a3.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00038946.htm
- http://www.cdc.gov/pcd/issues/2010/mar/09_0095_es.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6040a8.htm?s_cid=mm6040a8_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5050a3.htm
- https://www.cdc.gov/pcd/issues/2004/jan/03_0012.htm
- http://www.cdc.gov/pcd/issues/2009/jan/08_0020_fr.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6150a2.htm?s_cid=mm6150a2_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5709a3.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00051486.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00000230.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5319a2.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5943a4.htm?s_cid=mm5943a4_w

…and more — 440 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
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00000450.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00056637.htm
- http://www.cdc.gov/pcd/issues/2007/apr/06_0073a.htm

---

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

**Bug ID:** `VS-8b442a74`  
**Pattern ID:** `VS-fa44f293`  
**URL:** https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/viral-hemorrhagic-fevers/hcp/diagnosis-testing/index.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:** 152 instances; 152 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

### HTML snippet
```html
<html lang="en-us" class="cdc-theme-cdc cdc-root-home cdc-page-type--2024home">
```

### Description
Page should contain a level-one heading. Detected by axe-core rule page-has-heading-one on 152 of 1948 scanned pages (152 instances).

### Steps to reproduce
1. Open https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/viral-hemorrhagic-fevers/hcp/diagnosis-testing/index.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://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/viral-hemorrhagic-fevers/hcp/diagnosis-testing/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/cryptococcosis
- https://www.cdc.gov/national-asthma-control-program/site.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/mumps/hcp/clinical-signs/index.html
- https://www.cdc.gov/faca
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/vaccines/hcp/imz-schedules/index.html
- http://www.cdc.gov/cpneumoniae/index.html
- https://cdc.gov/hepatitis/php/npr-2025/hep-c-reduce-deaths-aian.html
- http://www.cdc.gov/oral-health/site.html
- https://cdc.gov/immigrant-refugee-health/about/cdc-role-in-immigration.html
- https://www.cdc.gov/antimicrobial-resistance-laboratory-networks/es/site.html
- https://www.cdc.gov/cancer-survivors/es/site.html
- http://www.cdc.gov/diabetes/programs/preventt2/pledge.html?pledge=2
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/vaccines/hcp/current-vis/ebola.html
- https://www.cdc.gov/global-health-protection/php/index.html?CDC_AAref_Val=https%3A%2F%2Fwww.cdc.gov%2Fglobalhealth%2Fhealthprotection%2Ferrb%2Fabout.htm
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/media/es/releases/m1022-ecoli-hamburguesas.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/bird-flu/about/avian-influenza-type-a.html
- http://www.cdc.gov/tb/statistics/archived.htm
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/anaplasmosis/hcp/statistics/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/heart-disease/about/heart-valve-disease.html
- https://www.cdc.gov/nis/es/site.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/meningococcal/es/vaccines/vacunas-recomendadas-para-preadolescentes-y-adolescentes.html
- http://www.cdc.gov/infection-control/site.html
- https://www.cdc.gov/flu/weekly/weeklyarchives2023-2024/data/whoAllregt_phl27.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/nchs/nhis/early-release/index.html

…and more — 152 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://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/viral-hemorrhagic-fevers/hcp/diagnosis-testing/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/cryptococcosis
- https://www.cdc.gov/national-asthma-control-program/site.html

---

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

**Bug ID:** `VS-8ad0c097`  
**Pattern ID:** `VS-4edfe386`  
**URL:** https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/viral-hemorrhagic-fevers/hcp/diagnosis-testing/index.html  
**XPath / selector:** `a[href$="#headerSearch"]`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `skip-link` ([reference](https://dequeuniversity.com/rules/axe/4.12/skip-link?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 105 instances; 104 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

### HTML snippet
```html
<a class="skippy visually-hidden-focusable" href="#headerSearch" tabindex="2">Skip to search</a>
```

### Description
The skip-link target should exist and be focusable. Detected by axe-core rule skip-link on 104 of 1948 scanned pages (105 instances).

### Steps to reproduce
1. Open https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/viral-hemorrhagic-fevers/hcp/diagnosis-testing/index.html.
2. Locate the element: a[href$="#headerSearch"]
3. Confirm the axe-core finding for rule skip-link.

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

### Affected pages
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/viral-hemorrhagic-fevers/hcp/diagnosis-testing/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/cryptococcosis
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/mumps/hcp/clinical-signs/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/vaccines/hcp/imz-schedules/index.html
- https://cdc.gov/hepatitis/php/npr-2025/hep-c-reduce-deaths-aian.html
- https://cdc.gov/immigrant-refugee-health/about/cdc-role-in-immigration.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/vaccines/hcp/current-vis/ebola.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/media/es/releases/m1022-ecoli-hamburguesas.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/bird-flu/about/avian-influenza-type-a.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/anaplasmosis/hcp/statistics/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/heart-disease/about/heart-valve-disease.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/meningococcal/es/vaccines/vacunas-recomendadas-para-preadolescentes-y-adolescentes.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/nchs/nhis/early-release/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/flu-in-animals/about/canine-flu.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/listeria/outbreaks/ready-to-eat-foods-may-2025/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/food-safety/foods/index.html
- https://cdc.gov/hepatitis-b/public-resources/are-you-at-risk-flyer.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/group-a-strep/hcp/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/bird-flu/communication-resources/remove-ppe-high-exposure.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/brfss/state_info/index.htm
- https://cdc.gov/hepatitis/php/npr-2024/hep-c-reduce-deaths-aian.html
- https://www.cdc.gov/pcd/issues/2012/11_0243_es.htm
- https://cdc.gov/surv-manual/php/table-of-contents/chapter-22-laboratory-support.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/vaccines/php/events/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/flu-vaccines-work/index.html

…and more — 104 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://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/viral-hemorrhagic-fevers/hcp/diagnosis-testing/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/cryptococcosis
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/mumps/hcp/clinical-signs/index.html

---

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

**Bug ID:** `VS-e2523e60`  
**Pattern ID:** `VS-424cced9`  
**URL:** https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/viral-hemorrhagic-fevers/hcp/diagnosis-testing/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:** 93 instances; 93 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (8 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 93 of 1948 scanned pages (93 instances).

### Steps to reproduce
1. Open https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/viral-hemorrhagic-fevers/hcp/diagnosis-testing/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://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/viral-hemorrhagic-fevers/hcp/diagnosis-testing/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/cryptococcosis
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/mumps/hcp/clinical-signs/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/vaccines/hcp/imz-schedules/index.html
- https://cdc.gov/hepatitis/php/npr-2025/hep-c-reduce-deaths-aian.html
- https://cdc.gov/immigrant-refugee-health/about/cdc-role-in-immigration.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/vaccines/hcp/current-vis/ebola.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/media/es/releases/m1022-ecoli-hamburguesas.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/bird-flu/about/avian-influenza-type-a.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/anaplasmosis/hcp/statistics/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/heart-disease/about/heart-valve-disease.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/meningococcal/es/vaccines/vacunas-recomendadas-para-preadolescentes-y-adolescentes.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/nchs/nhis/early-release/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/flu-in-animals/about/canine-flu.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/listeria/outbreaks/ready-to-eat-foods-may-2025/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/food-safety/foods/index.html
- https://cdc.gov/hepatitis-b/public-resources/are-you-at-risk-flyer.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/group-a-strep/hcp/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/bird-flu/communication-resources/remove-ppe-high-exposure.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/brfss/state_info/index.htm
- https://cdc.gov/hepatitis/php/npr-2024/hep-c-reduce-deaths-aian.html
- https://cdc.gov/surv-manual/php/table-of-contents/chapter-22-laboratory-support.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/vaccines/php/events/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/flu-vaccines-work/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/iis/annual-report-iisar/index.html

…and more — 93 pages total ([download CSV](csv/axe-core__landmark-contentinfo-is-top-level.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/landmark-contentinfo-is-top-level?application=axeAPI

### Example pages
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/viral-hemorrhagic-fevers/hcp/diagnosis-testing/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/cryptococcosis
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/mumps/hcp/clinical-signs/index.html

---

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

**Bug ID:** `VS-fc7bb387`  
**Pattern ID:** `VS-054101da`  
**URL:** https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/viral-hemorrhagic-fevers/hcp/diagnosis-testing/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:** 93 instances; 93 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (11 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 93 of 1948 scanned pages (93 instances).

### Steps to reproduce
1. Open https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/viral-hemorrhagic-fevers/hcp/diagnosis-testing/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://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/viral-hemorrhagic-fevers/hcp/diagnosis-testing/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/cryptococcosis
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/mumps/hcp/clinical-signs/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/vaccines/hcp/imz-schedules/index.html
- https://cdc.gov/hepatitis/php/npr-2025/hep-c-reduce-deaths-aian.html
- https://cdc.gov/immigrant-refugee-health/about/cdc-role-in-immigration.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/vaccines/hcp/current-vis/ebola.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/media/es/releases/m1022-ecoli-hamburguesas.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/bird-flu/about/avian-influenza-type-a.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/anaplasmosis/hcp/statistics/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/heart-disease/about/heart-valve-disease.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/meningococcal/es/vaccines/vacunas-recomendadas-para-preadolescentes-y-adolescentes.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/nchs/nhis/early-release/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/flu-in-animals/about/canine-flu.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/listeria/outbreaks/ready-to-eat-foods-may-2025/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/food-safety/foods/index.html
- https://cdc.gov/hepatitis-b/public-resources/are-you-at-risk-flyer.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/group-a-strep/hcp/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/bird-flu/communication-resources/remove-ppe-high-exposure.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/brfss/state_info/index.htm
- https://cdc.gov/hepatitis/php/npr-2024/hep-c-reduce-deaths-aian.html
- https://cdc.gov/surv-manual/php/table-of-contents/chapter-22-laboratory-support.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/vaccines/php/events/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/flu-vaccines-work/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/iis/annual-report-iisar/index.html

…and more — 93 pages total ([download CSV](csv/axe-core__landmark-no-duplicate-banner.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 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://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/viral-hemorrhagic-fevers/hcp/diagnosis-testing/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/cryptococcosis
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/mumps/hcp/clinical-signs/index.html

---

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

**Bug ID:** `VS-8cd272f2`  
**Pattern ID:** `VS-b465dfd7`  
**URL:** https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/viral-hemorrhagic-fevers/hcp/diagnosis-testing/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:** 93 instances; 93 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (8 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 93 of 1948 scanned pages (93 instances).

### Steps to reproduce
1. Open https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/viral-hemorrhagic-fevers/hcp/diagnosis-testing/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://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/viral-hemorrhagic-fevers/hcp/diagnosis-testing/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/cryptococcosis
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/mumps/hcp/clinical-signs/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/vaccines/hcp/imz-schedules/index.html
- https://cdc.gov/hepatitis/php/npr-2025/hep-c-reduce-deaths-aian.html
- https://cdc.gov/immigrant-refugee-health/about/cdc-role-in-immigration.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/vaccines/hcp/current-vis/ebola.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/media/es/releases/m1022-ecoli-hamburguesas.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/bird-flu/about/avian-influenza-type-a.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/anaplasmosis/hcp/statistics/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/heart-disease/about/heart-valve-disease.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/meningococcal/es/vaccines/vacunas-recomendadas-para-preadolescentes-y-adolescentes.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/nchs/nhis/early-release/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/flu-in-animals/about/canine-flu.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/listeria/outbreaks/ready-to-eat-foods-may-2025/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/food-safety/foods/index.html
- https://cdc.gov/hepatitis-b/public-resources/are-you-at-risk-flyer.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/group-a-strep/hcp/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/bird-flu/communication-resources/remove-ppe-high-exposure.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/brfss/state_info/index.htm
- https://cdc.gov/hepatitis/php/npr-2024/hep-c-reduce-deaths-aian.html
- https://cdc.gov/surv-manual/php/table-of-contents/chapter-22-laboratory-support.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/vaccines/php/events/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/flu-vaccines-work/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/iis/annual-report-iisar/index.html

…and more — 93 pages total ([download CSV](csv/axe-core__landmark-no-duplicate-contentinfo.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 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://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/viral-hemorrhagic-fevers/hcp/diagnosis-testing/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/cryptococcosis
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/mumps/hcp/clinical-signs/index.html

---

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

**Bug ID:** `VS-17b75c5a`  
**Pattern ID:** `VS-0ba8ce9d`  
**URL:** http://www.cdc.gov/healthcare-associated-infections/php/preventing-mdros/mdro-prevention-strategies.html  
**XPath / selector:** `td[rowspan="2"]`  
**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:** 57 instances; 11 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

### HTML snippet
```html
<td class="bg-gray-l2 col-md-6" style="width: 576px;" rowspan="2" scope="col" width="432"><strong>Example activities for strategy 1: Conduct education</strong></td>
```

### Description
scope attribute should be used correctly. Detected by axe-core rule scope-attr-valid on 11 of 1948 scanned pages (57 instances).

### Steps to reproduce
1. Open http://www.cdc.gov/healthcare-associated-infections/php/preventing-mdros/mdro-prevention-strategies.html.
2. Locate the element: td[rowspan="2"]
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/healthcare-associated-infections/php/preventing-mdros/mdro-prevention-strategies.html
- http://www.cdc.gov/acip/evidence-to-recommendations/influenza-older-adults-etr.html
- https://www.cdc.gov/brfss/annual_data/2010/summary_matrix_10.htm
- http://www.cdc.gov/fluview/surveillance/2025-week-33.html
- https://www.cdc.gov/fluview/surveillance/2025-week-31.html
- http://www.cdc.gov/fluview/surveillance/2026-week-32.html
- https://www.cdc.gov/pcd/issues/2016/16_0103.htm
- https://www.cdc.gov/flu/weekly/weeklyarchives2023-2024/week29.htm
- http://www.cdc.gov/flu/whats-new/2025-2026-influenza-activity.html
- http://www.cdc.gov/acip/evidence-to-recommendations/covid-19-moderna-vaccine-6-17-years-etr.html
- https://www.cdc.gov/radiation-emergencies/hcp/clinical-guidance/ars.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/scope-attr-valid?application=axeAPI

### Example pages
- http://www.cdc.gov/healthcare-associated-infections/php/preventing-mdros/mdro-prevention-strategies.html
- http://www.cdc.gov/acip/evidence-to-recommendations/influenza-older-adults-etr.html
- https://www.cdc.gov/brfss/annual_data/2010/summary_matrix_10.htm

---

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

**Bug ID:** `VS-256e643c`  
**Pattern ID:** `VS-ff3ceb19`  
**URL:** http://www.cdc.gov/nhsn/faqs/cms/faq_cms_hai.html  
**XPath / selector:** `._2sb8rd89d-aYq-6tUgMQjI`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-main-is-top-level` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-main-is-top-level?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 1 instances; 1 of 1948 pages affected
  
**History:** first seen 2026-W30, last seen 2026-W40 (2 weeks)

### HTML snippet
```html
<div class="_2sb8rd89d-aYq-6tUgMQjI" tabindex="-1" role="main" aria-label="Content pane">
```

### Description
Main landmark should not be contained in another landmark. Detected by axe-core rule landmark-main-is-top-level on 1 of 1948 scanned pages (1 instances).

### Steps to reproduce
1. Open http://www.cdc.gov/nhsn/faqs/cms/faq_cms_hai.html.
2. Locate the element: ._2sb8rd89d-aYq-6tUgMQjI
3. Confirm the axe-core finding for rule landmark-main-is-top-level.

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

### Affected pages
- http://www.cdc.gov/nhsn/faqs/cms/faq_cms_hai.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/landmark-main-is-top-level?application=axeAPI

---

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

**Bug ID:** `VS-0b638fac`  
**Pattern ID:** `VS-cd69be3a`  
**URL:** http://www.cdc.gov/nhsn/faqs/cms/faq_cms_hai.html  
**XPath / selector:** `main`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `landmark-no-duplicate-main` ([reference](https://dequeuniversity.com/rules/axe/4.12/landmark-no-duplicate-main?application=axeAPI))  
**Severity:** Moderate  
**Frequency:** 1 instances; 1 of 1948 pages affected
  
**History:** first seen 2026-W30, last seen 2026-W40 (2 weeks)

### HTML snippet
```html
<main class="col-lg-9 order-lg-2" role="main" aria-label="Main Content Area">
```

### Description
Document should not have more than one main landmark. Detected by axe-core rule landmark-no-duplicate-main on 1 of 1948 scanned pages (1 instances).

### Steps to reproduce
1. Open http://www.cdc.gov/nhsn/faqs/cms/faq_cms_hai.html.
2. Locate the element: main
3. Confirm the axe-core finding for rule landmark-no-duplicate-main.

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

### Affected pages
- http://www.cdc.gov/nhsn/faqs/cms/faq_cms_hai.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/landmark-no-duplicate-main?application=axeAPI

---

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

**Bug ID:** `VS-ad4298bf`  
**Pattern ID:** `VS-4fac2f41`  
**URL:** https://www.cdc.gov/niosh/publications/es/numbered/2006-110sp.html  
**XPath / selector:** `img[alt="2006-110sp"]`  
**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:** 92 instances; 78 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

### HTML snippet
```html
<img src="/niosh/media/images/2026/05/2006-110_sp-cover.jpg" alt="2006-110sp" role="presentation">
```

### Description
ARIA role should be appropriate for the element. Detected by axe-core rule aria-allowed-role on 78 of 1948 scanned pages (92 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/niosh/publications/es/numbered/2006-110sp.html.
2. Locate the element: img[alt="2006-110sp"]
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/niosh/publications/es/numbered/2006-110sp.html
- https://www.cdc.gov/spanish/NIOSH/docs/2007-133_sp
- https://www.cdc.gov/niosh/publications/numbered/2014-149.html
- https://www.cdc.gov/niosh/docs/96-110
- http://www.cdc.gov/niosh/docs/2013-150
- http://www.cdc.gov/niosh/docs/2013-123
- https://www.cdc.gov/niosh/publications/numbered/2017-202.html
- http://www.cdc.gov/niosh/publications/numbered/97-120.html
- http://www.cdc.gov/niosh/docs/2011-145
- http://www.cdc.gov/niosh/docs/mining/works/coversheet45.html
- http://www.cdc.gov/niosh/publications/numbered/2009-115.html
- http://www.cdc.gov/niosh/docs/2014-150
- http://www.cdc.gov/wtc/federal_register.html
- http://www.cdc.gov/niosh/publications/numbered/2013-157.html
- http://www.cdc.gov/powassan/cause-and-spread/index.html
- https://www.cdc.gov/niosh/publications/numbered/2013-100.html
- http://www.cdc.gov/niosh/publications/numbered/2013-145.html
- https://www.cdc.gov/niosh/docs/mining/works/coversheet1041.html
- https://www.cdc.gov/niosh/publications/es/numbered/2013-102sp.html
- http://www.cdc.gov/niosh/publications/numbered/2005-128.html
- https://www.cdc.gov/niosh/publications/numbered/2008-129.html
- http://www.cdc.gov/niosh/publications/numbered/98-102.html
- https://www.cdc.gov/wtc/newsfundingopportunity_20251222.html
- https://www.cdc.gov/niosh/docs/2015-232
- http://www.cdc.gov/spanish/niosh/docs/2006-117_sp

…and more — 78 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/niosh/publications/es/numbered/2006-110sp.html
- https://www.cdc.gov/spanish/NIOSH/docs/2007-133_sp
- https://www.cdc.gov/niosh/publications/numbered/2014-149.html

---

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

**Bug ID:** `VS-0829f30a`  
**Pattern ID:** `VS-d69fc059`  
**URL:** http://www.cdc.gov/pcd/issues/2007/apr/06_0073a.htm  
**XPath / selector:** `th[valign="bottom"]`  
**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:** 113 instances; 34 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

### HTML snippet
```html
<th scope="col" valign="bottom">&nbsp;</th>
```

### Description
Table header text should not be empty. Detected by axe-core rule empty-table-header on 34 of 1948 scanned pages (113 instances).

### Steps to reproduce
1. Open http://www.cdc.gov/pcd/issues/2007/apr/06_0073a.htm.
2. Locate the element: th[valign="bottom"]
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/pcd/issues/2007/apr/06_0073a.htm
- https://www.cdc.gov/pcd/issues/2004/jan/03_0012.htm
- http://www.cdc.gov/pcd/issues/2006/jan/05_0088.htm
- https://www.cdc.gov/niosh/idlh/107051.html
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6121md.htm?s_cid=mm6121md_w
- http://www.cdc.gov/mmwr/volumes/74/wr/mm7437a1.htm?s_cid=OS_mm7437a1_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5804a1.htm
- http://www.cdc.gov/fluview/surveillance/2025-week-33.html
- https://www.cdc.gov/legionella/php/surveillance/surveillance-report-2018-2019.html
- https://www.cdc.gov/flu/weekly/weeklyarchives2024-2025/data/iliage45.html
- https://www.cdc.gov/fluview/surveillance/2025-week-31.html
- http://www.cdc.gov/hiv-data/about/impact.html
- http://www.cdc.gov/fluview/surveillance/2026-week-32.html
- http://www.cdc.gov/vaccines/acip/recs/grade/covid-19-2023-2024-Monovalent.html
- https://www.cdc.gov/pcd/issues/2016/16_0103.htm
- http://www.cdc.gov/mmwr/volumes/66/wr/mm6640a3.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5833a1.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6150md.htm?s_cid=mm6150md_w
- https://www.cdc.gov/flu/weekly/weeklyarchives2023-2024/week29.htm
- https://www.cdc.gov/pcd/issues/2005/nov/05_0067.htm
- http://www.cdc.gov/asthma/nhis/03/table3-2.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6246a6.htm
- http://www.cdc.gov/school-health-profiles/methods/2022-response-rate.html
- https://www.cdc.gov/pcd/issues/2018/18_0062.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/rr6203a1.htm

…and more — 34 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/pcd/issues/2007/apr/06_0073a.htm
- https://www.cdc.gov/pcd/issues/2004/jan/03_0012.htm
- http://www.cdc.gov/pcd/issues/2006/jan/05_0088.htm

---

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

**Bug ID:** `VS-e291745f`  
**Pattern ID:** `VS-0066c67d`  
**URL:** http://www.cdc.gov/other/plugins/index.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:** 37 instances; 22 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

### HTML snippet
```html
<h3 class="h4"><a id="pdf" name="pdf"></a></h3>
```

### Description
Headings should not be empty. Detected by axe-core rule empty-heading on 22 of 1948 scanned pages (37 instances).

### Steps to reproduce
1. Open http://www.cdc.gov/other/plugins/index.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
- http://www.cdc.gov/other/plugins/index.html
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5319a2.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5401a2.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5403a7.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5618a1.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5337a5.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5312a5.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5624a1.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5422a4.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5440a8.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5324a6.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5401a2.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5414a1.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5342a2.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5132a8.htm
- https://www.cdc.gov/act-early/milestones/4-years.html
- https://www.cdc.gov/niosh/idlh/criteria.html
- http://www.cdc.gov/asthma/brfss/02/brfssdata.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5644a1.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5326a6.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5301a1.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5116a6.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 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
- http://www.cdc.gov/other/plugins/index.html
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5319a2.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5401a2.htm

---

## Elements marked as presentational should be consistently ignored (WCAG criterion undetermined)

**Bug ID:** `VS-ef7b99a5`  
**Pattern ID:** `VS-096684ad`  
**URL:** https://www.cdc.gov/niosh/npptl/topics/respirators/cel  
**XPath / selector:** `#ui-id-1`  
**WCAG SC:** _undetermined_  
**Rule:** axe-core — `presentation-role-conflict` ([reference](https://dequeuniversity.com/rules/axe/4.12/presentation-role-conflict?application=axeAPI))  
**Severity:** Minor  
**Frequency:** 4 instances; 1 of 1948 pages affected
  
**History:** first seen 2026-W32, last seen 2026-W40 (2 weeks)

### HTML snippet
```html
<a href="#tabs-tcNumber" class="ui-tabs-anchor" role="presentation" tabindex="-1" id="ui-id-1">TC (Approval) Number</a>
```

### Description
Elements marked as presentational should be consistently ignored. Detected by axe-core rule presentation-role-conflict on 1 of 1948 scanned pages (4 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/niosh/npptl/topics/respirators/cel.
2. Locate the element: #ui-id-1
3. Confirm the axe-core finding for rule presentation-role-conflict.

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

### Affected pages
- https://www.cdc.gov/niosh/npptl/topics/respirators/cel

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

### Suggested fix
**How to fix:** An element with role="presentation"/"none" must not also be focusable or have a global ARIA attribute; remove the conflict.

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

---

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

**Bug ID:** `VS-e6da2d06`  
**Pattern ID:** `VS-234b2c77`  
**URL:** https://www.cdc.gov/brfss/acbs/2017/multiple_year/acbs_prevalence_15-17_table12.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 1948 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W40 (10 weeks)

### HTML snippet
```html
<table class="prevaltb" border="1" summary="Table 12: BRFSS Asthma Call-back Survey 2015-2017">
```

### Description
Tables should not have the same summary and caption. Detected by axe-core rule table-duplicate-name on 1 of 1948 scanned pages (1 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/brfss/acbs/2017/multiple_year/acbs_prevalence_15-17_table12.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/acbs/2017/multiple_year/acbs_prevalence_15-17_table12.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-5879d4e8`  
**Pattern ID:** `VS-c18be945`  
**URL:** https://www.cdc.gov/niosh/publications/es/numbered/2006-110sp.html  
**XPath / selector:** `text: "Ir a la búsqueda"`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r57` ([reference](https://alfa.siteimprove.com/rules/sia-r57))  
**Severity:** Moderate  
**Frequency:** 4119 instances; 307 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

### Description
Scrolling content can be accessed by keyboard. Detected by Siteimprove Alfa rule sia-r57 on 307 of 1948 scanned pages (4119 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/niosh/publications/es/numbered/2006-110sp.html.
2. Locate the element: text: "Ir a la búsqueda"
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/niosh/publications/es/numbered/2006-110sp.html
- https://www.cdc.gov/mmwr/volumes/72/wr/mm7216a1.htm?s_cid=mm7216a1_w
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/cryptococcosis
- https://www.cdc.gov/media/releases/2025/2025-certain-metabolic-meals-home-delivery-foods-reported-in-ongoing-salmonella-outbreak-investigation.html
- http://www.cdc.gov/nora/councils/construction.html
- https://www.cdc.gov/niosh/docs/96-110
- https://www.cdc.gov/diabetes/treatment/type-1-diabetes-early-treatment.html
- https://www.cdc.gov/active-communities-tool/php/about
- http://www.cdc.gov/niosh/docs/2013-150
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/vaccines/hcp/imz-schedules/index.html
- https://www.cdc.gov/niosh/silica/exposure/index.html
- http://www.cdc.gov/niosh/npg/npgd0407.html
- http://www.cdc.gov/niosh/npg/npgd0409.html
- https://www.cdc.gov/nchs/nhanes/about-data/index.html
- https://www.cdc.gov/az/j.html
- https://www.cdc.gov/readiness/php/data-research/texas-funding.html
- http://www.cdc.gov/diabetes/es/diabetes-complications/la-diabetes-y-la-salud-oral.html
- https://cdc.gov/immigrant-refugee-health/about/cdc-role-in-immigration.html
- https://www.cdc.gov/urdo/php/interventions/index.html
- https://www.cdc.gov/prams/site.html
- http://www.cdc.gov/niosh/publications/numbered/97-120.html
- https://www.cdc.gov/cancer-survivors/es/site.html
- http://www.cdc.gov/nchs/updates/index.html
- http://www.cdc.gov/volcanoes/safety/protecting-yourself-during-a-volcanic-eruption-safety.html
- http://www.cdc.gov/niosh/docs/2011-145

…and more — 307 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/niosh/publications/es/numbered/2006-110sp.html
- https://www.cdc.gov/mmwr/volumes/72/wr/mm7216a1.htm?s_cid=mm7216a1_w
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/cryptococcosis

---

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

**Bug ID:** `VS-90f75c21`  
**Pattern ID:** `VS-e05344b9`  
**URL:** https://www.cdc.gov/niosh/publications/es/numbered/2006-110sp.html  
**XPath / selector:** `@aria-label="Un sitio oficial del Gobierno de Estados Unidos"`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r18` ([reference](https://alfa.siteimprove.com/rules/sia-r18))  
**Severity:** Moderate  
**Frequency:** 278 instances; 222 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

### Description
aria attribute is permitted for element role. Detected by Siteimprove Alfa rule sia-r18 on 222 of 1948 scanned pages (278 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/niosh/publications/es/numbered/2006-110sp.html.
2. Locate the element: @aria-label="Un sitio oficial del Gobierno de Estados Unidos"
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/niosh/publications/es/numbered/2006-110sp.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/cryptococcosis
- https://www.cdc.gov/media/releases/2025/2025-certain-metabolic-meals-home-delivery-foods-reported-in-ongoing-salmonella-outbreak-investigation.html
- http://www.cdc.gov/nora/councils/construction.html
- https://www.cdc.gov/niosh/docs/96-110
- https://www.cdc.gov/diabetes/treatment/type-1-diabetes-early-treatment.html
- https://www.cdc.gov/active-communities-tool/php/about
- http://www.cdc.gov/niosh/docs/2013-150
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/vaccines/hcp/imz-schedules/index.html
- https://www.cdc.gov/niosh/silica/exposure/index.html
- https://www.cdc.gov/nchs/nhanes/about-data/index.html
- https://www.cdc.gov/az/j.html
- https://www.cdc.gov/readiness/php/data-research/texas-funding.html
- http://www.cdc.gov/diabetes/es/diabetes-complications/la-diabetes-y-la-salud-oral.html
- https://cdc.gov/immigrant-refugee-health/about/cdc-role-in-immigration.html
- https://www.cdc.gov/urdo/php/interventions/index.html
- https://www.cdc.gov/prams/site.html
- http://www.cdc.gov/niosh/publications/numbered/97-120.html
- https://www.cdc.gov/cancer-survivors/es/site.html
- http://www.cdc.gov/nchs/updates/index.html
- http://www.cdc.gov/volcanoes/safety/protecting-yourself-during-a-volcanic-eruption-safety.html
- http://www.cdc.gov/niosh/docs/2011-145
- http://www.cdc.gov/niosh/docs/mining/works/coversheet45.html
- https://www.cdc.gov/disability-inclusion/about/index.html
- https://www.cdc.gov/salmonella/outbreaks/bearded-dragon-10-22/index.html

…and more — 222 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/niosh/publications/es/numbered/2006-110sp.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/cryptococcosis
- https://www.cdc.gov/media/releases/2025/2025-certain-metabolic-meals-home-delivery-foods-reported-in-ongoing-salmonella-outbreak-investigation.html

---

## Headings are structured hierarchically (WCAG criterion undetermined)

**Bug ID:** `VS-9fd5f603`  
**Pattern ID:** `VS-f054f4a4`  
**URL:** https://www.cdc.gov/mmwr/volumes/72/wr/mm7216a1.htm?s_cid=mm7216a1_w  
**XPath / selector:** `<h3>`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r53` ([reference](https://alfa.siteimprove.com/rules/sia-r53))  
**Severity:** Moderate  
**Frequency:** 184 instances; 136 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

### Description
Headings are structured hierarchically. Detected by Siteimprove Alfa rule sia-r53 on 136 of 1948 scanned pages (184 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/mmwr/volumes/72/wr/mm7216a1.htm?s_cid=mm7216a1_w.
2. Locate the element: <h3>
3. Confirm the Siteimprove Alfa finding for rule sia-r53.

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

### Affected pages
- https://www.cdc.gov/mmwr/volumes/72/wr/mm7216a1.htm?s_cid=mm7216a1_w
- https://www.cdc.gov/pcd/issues/2013/12_0096.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5050a3.htm
- https://www.cdc.gov/pcd/issues/2004/jan/03_0012.htm
- http://www.cdc.gov/niosh/npg/npgd0407.html
- http://www.cdc.gov/niosh/npg/npgd0409.html
- https://www.cdc.gov/readiness/php/data-research/texas-funding.html
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00017197.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5217a1.htm
- http://www.cdc.gov/PCD/issues/2009/jul/09_0017.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00000804.htm
- https://www.cdc.gov/mmwr/volumes/69/wr/mm6905a5.htm?s_cid=mm6905a5_w
- https://www.cdc.gov/pcd/issues/2022/22_0028.htm
- http://www.cdc.gov/sleeping-sickness/hcp/clinical-care/index.html
- http://www.cdc.gov/PCD/issues/2011/may/10_0045_es.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00015325.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm4924a3.htm
- http://www.cdc.gov/pcd/issues/2006/jul/05_0138_es.htm
- https://www.cdc.gov/mmwr/volumes/69/rr/rr6908a1.htm?s_cid=rr6908a1_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5014a1.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5614a4.htm
- https://www.cdc.gov/mmwr/volumes/65/wr/mm6536e2.htm?s_cid=mm6536e2_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00014545.htm
- https://www.cdc.gov/niosh/npg/npgd0141.html
- https://www.cdc.gov/pcd/issues/2007/oct/07_0080_es.htm

…and more — 136 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/mmwr/volumes/72/wr/mm7216a1.htm?s_cid=mm7216a1_w
- https://www.cdc.gov/pcd/issues/2013/12_0096.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5050a3.htm

---

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

**Bug ID:** `VS-42b21cdd`  
**Pattern ID:** `VS-3d033717`  
**URL:** https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5050a3.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:** 102 instances; 102 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

### Description
No obsolete or deprecated elements are used. Detected by Siteimprove Alfa rule sia-r70 on 102 of 1948 scanned pages (102 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5050a3.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/mm5050a3.htm
- https://www.cdc.gov/pcd/issues/2004/jan/03_0012.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6150a2.htm?s_cid=mm6150a2_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5943a4.htm?s_cid=mm5943a4_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5639md.htm
- http://www.cdc.gov/pcd/issues/2008/apr/07_0241.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5446md.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00017197.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5217a1.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6248a3.htm
- http://www.cdc.gov/PCD/issues/2009/jul/09_0017.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00000804.htm
- http://www.cdc.gov/PCD/issues/2011/may/10_0045_es.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00015325.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm4924a3.htm
- http://www.cdc.gov/pcd/issues/2006/jul/05_0138_es.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5014a1.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5614a4.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00014545.htm
- https://www.cdc.gov/pcd/issues/2007/oct/07_0080_es.htm
- https://www.cdc.gov/pcd/issues/2005/apr/04_0142o_zht.htm
- https://www.cdc.gov/nchs/products/databriefs/db79.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5440a4.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5006a1.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00000714.htm

…and more — 102 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/mm5050a3.htm
- https://www.cdc.gov/pcd/issues/2004/jan/03_0012.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6150a2.htm?s_cid=mm6150a2_w

---

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

**Bug ID:** `VS-f26b4bca`  
**Pattern ID:** `VS-7118fead`  
**URL:** https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/cryptococcosis  
**XPath / selector:** `{"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r61` ([reference](https://alfa.siteimprove.com/rules/sia-r61))  
**Severity:** Moderate  
**Frequency:** 59 instances; 59 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

### Description
Form field label is visible. Detected by Siteimprove Alfa rule sia-r61 on 59 of 1948 scanned pages (59 instances).

### Steps to reproduce
1. Open https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/cryptococcosis.
2. Locate the element: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
3. Confirm the Siteimprove Alfa finding for rule sia-r61.

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

### Affected pages
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/cryptococcosis
- https://www.cdc.gov/pcd/issues/2013/12_0096.htm
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/vaccines/hcp/imz-schedules/index.html
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6150a2.htm?s_cid=mm6150a2_w
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5943a4.htm?s_cid=mm5943a4_w
- https://cdc.gov/immigrant-refugee-health/about/cdc-role-in-immigration.html
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6248a3.htm
- https://www.cdc.gov/cancer-survivors/es/site.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/heart-disease/about/heart-valve-disease.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/nchs/nhis/early-release/index.html
- https://www.cdc.gov/spanish/cancer/uterine
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/food-safety/foods/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/bird-flu/caring/infected-birds-exposure.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/vaccine-safety-systems/resources/vaers-brochure-hcp.html
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6249a5.htm
- https://www.cdc.gov/parasites/index.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/handhygiene/video/Educate-TranscriptTXT.txt
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6007a1.htm?s_cid=mm6007a1_w
- https://www.cdc.gov/pcd/issues/2013/12_0161_es.htm
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/clean-hands/hcp/training/Cdiff-Course.html
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6003a1.htm
- https://cdc.gov/group-a-strep/about/strep-throat.html
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/mmwr/indrr_2024.html
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6021a3.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6325a4.htm?s_cid=mm6325a4_w

…and more — 59 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
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/cryptococcosis
- https://www.cdc.gov/pcd/issues/2013/12_0096.htm
- https://%5C%5C%5C%5Ccdc.gov%5C%5Cproject%5C%5COPHSS_CSELS_DPHID_MMWR_OD_Editors%5C%5CMMWR-WE%5C%5Cxxx%20-%20AUGUST%2021%5C%5CRoundtable%5C%5Cvqf8@cdc.gov/vaccines/hcp/imz-schedules/index.html

---

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

**Bug ID:** `VS-33602509`  
**Pattern ID:** `VS-04a9d28c`  
**URL:** http://www.cdc.gov/pcd/issues/2011/nov/10_0197_es.htm  
**XPath / selector:** `body`  
**WCAG SC:** _undetermined_  
**Rule:** deprecated-html — `presentational-attr`  
**Severity:** Moderate  
**Frequency:** 5533 instances; 49 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

### HTML snippet
```html
<body bgcolor="#ffffff" leftmargin="0" topmargin="0" marginheight="0" marginwidth="0" background="../../../images/bkgnd.gif" class=" dmat-load-complete">

<!--webbot bot="Include" U-Include="../../../
```

### Description
Presentational attribute (use CSS). Detected by deprecated-html rule presentational-attr on 49 of 1948 scanned pages (5533 instances).

### Steps to reproduce
1. Open http://www.cdc.gov/pcd/issues/2011/nov/10_0197_es.htm.
2. Locate the element: body
3. Confirm the deprecated-html finding for rule presentational-attr.

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

### Affected pages
- http://www.cdc.gov/pcd/issues/2011/nov/10_0197_es.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00053877.htm
- https://www.cdc.gov/mmwr/volumes/72/wr/mm7216a1.htm?s_cid=mm7216a1_w
- http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5709a3.htm
- http://www.cdc.gov/PCD/issues/2010/jul/09_0175.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5217a1.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5337a5.htm
- http://www.cdc.gov/PCD/issues/2009/jul/09_0017.htm
- https://www.cdc.gov/tb/statistics/reports/2022/table29.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00033965.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00001072.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5440a4.htm
- http://www.cdc.gov/mmwr/volumes/74/wr/mm7437a1.htm?s_cid=OS_mm7437a1_w
- https://www.cdc.gov/mmwr/volumes/70/wr/mm7040e3.htm?s_cid=mm7040e3_w
- https://www.cdc.gov/pcd/issues/2007/oct/07_0021.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5402a8.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5324a6.htm
- http://www.cdc.gov/PCD/issues/2006/apr/05_0028_es.htm
- https://www.cdc.gov/pcd/issues/2012/12_0051_es.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5050a1.htm
- https://www.cdc.gov/mmwr/volumes/66/wr/mm6636a5.htm?s_cid=mm6636a5_e
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00016527.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00045579.htm
- http://www.cdc.gov/pcd/issues/2010/sep/10_0028_es.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00015127.htm

…and more — 49 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
- http://www.cdc.gov/pcd/issues/2011/nov/10_0197_es.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00053877.htm
- https://www.cdc.gov/mmwr/volumes/72/wr/mm7216a1.htm?s_cid=mm7216a1_w

---

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

**Bug ID:** `VS-32f0b684`  
**Pattern ID:** `VS-91d2294a`  
**URL:** http://www.cdc.gov/pcd/issues/2011/nov/10_0197_es.htm  
**XPath / selector:** `font`  
**WCAG SC:** _undetermined_  
**Rule:** deprecated-html — `font-element`  
**Severity:** Moderate  
**Frequency:** 261 instances; 35 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

### HTML snippet
```html
<font size="-1" color="#808080">Versión en español aprobada por <i>CDC Multilingual Services</i> – Order # 
			226806-C</font>
```

### Description
Obsolete <font> element (use CSS). Detected by deprecated-html rule font-element on 35 of 1948 scanned pages (261 instances).

### Steps to reproduce
1. Open http://www.cdc.gov/pcd/issues/2011/nov/10_0197_es.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
- http://www.cdc.gov/pcd/issues/2011/nov/10_0197_es.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00053877.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5709a3.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6046a6.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5217a1.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5337a5.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00033965.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00001072.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5440a4.htm
- https://www.cdc.gov/pcd/issues/2007/oct/07_0021.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5402a8.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5324a6.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5050a1.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00016527.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00045579.htm
- http://www.cdc.gov/pcd/issues/2010/sep/10_0028_es.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00015127.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00023138.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5009a1.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00049256.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00019514.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6246a6.htm
- https://www.cdc.gov/pcd/issues/2011/may/10_0163_es.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm4826md.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5128a4.htm

…and more — 35 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
- http://www.cdc.gov/pcd/issues/2011/nov/10_0197_es.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00053877.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5709a3.htm

---

## Table header has scope (WCAG criterion undetermined)

**Bug ID:** `VS-e1d4dfc2`  
**Pattern ID:** `VS-2cd767ca`  
**URL:** https://www.cdc.gov/pcd/issues/2013/12_0096.htm  
**XPath / selector:** `<h3 class="h3">`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r78` ([reference](https://alfa.siteimprove.com/rules/sia-r78))  
**Severity:** Moderate  
**Frequency:** 36 instances; 26 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

### Description
Table header has scope. Detected by Siteimprove Alfa rule sia-r78 on 26 of 1948 scanned pages (36 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/pcd/issues/2013/12_0096.htm.
2. Locate the element: <h3 class="h3">
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/pcd/issues/2013/12_0096.htm
- http://www.cdc.gov/sleeping-sickness/hcp/clinical-care/index.html
- https://www.cdc.gov/mmwr/volumes/65/wr/mm6536e2.htm?s_cid=mm6536e2_w
- https://www.cdc.gov/niosh/docket/archive/docket298.html
- https://www.cdc.gov/niosh/idlh/107051.html
- https://www.cdc.gov/laboratory/specimen-submission/detail.html?CDCTestCode=CDC-10130
- https://www.cdc.gov/mmwr/volumes/65/wr/mm6552a3.htm?s_cid=mm6552a3_w
- https://www.cdc.gov/drugresistance/covid19.html
- https://www.cdc.gov/niosh/idlh/123922.html
- http://www.cdc.gov/fungal/php/guidance-investigating-outbreaks/mold-healthcare.html
- https://www.cdc.gov/pcd/issues/2013/12_0161_es.htm
- http://www.cdc.gov/emerging-infections-program/site.html
- https://www.cdc.gov/mmwr/volumes/65/wr/mm6521a6.htm?s_cid=mm6521a6_w
- https://www.cdc.gov/mmwr/volumes/66/wr/mm6641a2.htm
- https://www.cdc.gov/mmwr/volumes/70/wr/mm7035a5.htm?s_cid=mm7035a5_w
- http://www.cdc.gov/mmwr/volumes/66/wr/mm6640a3.htm
- https://www.cdc.gov/mmwr/volumes/66/wr/mm6618a9.htm?s_cid=mm6618a9_w
- https://www.cdc.gov/nndss/site.html
- https://www.cdc.gov/pcd/issues/2012/11_0096_es.htm
- http://www.cdc.gov/mmwr/volumes/66/ss/ss6613a1.htm?s_cid=ss6613a1_w
- http://www.cdc.gov/yellow-book/hcp/travel-associated-infections-diseases/tick-borne-encephalitis.html
- https://www.cdc.gov/niosh/idlh/1333820.html
- https://www.cdc.gov/niosh/docket/archive/docket190.html
- https://www.cdc.gov/mmwr/volumes/69/wr/mm6930a5.htm?s_cid=mm6930a5_w
- https://www.cdc.gov/laboratory/specimen-submission/detail.html?CDCTestCode=CDC-10474

…and more — 26 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/pcd/issues/2013/12_0096.htm
- http://www.cdc.gov/sleeping-sickness/hcp/clinical-care/index.html
- https://www.cdc.gov/mmwr/volumes/65/wr/mm6536e2.htm?s_cid=mm6536e2_w

---

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

**Bug ID:** `VS-4035df6c`  
**Pattern ID:** `VS-7845739d`  
**URL:** http://www.cdc.gov/mmwr/preview/mmwrhtml/00053877.htm  
**XPath / selector:** `big`  
**WCAG SC:** _undetermined_  
**Rule:** deprecated-html — `big-element`  
**Severity:** Moderate  
**Frequency:** 35 instances; 24 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

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

### Description
Obsolete <big> element (use CSS). Detected by deprecated-html rule big-element on 24 of 1948 scanned pages (35 instances).

### Steps to reproduce
1. Open http://www.cdc.gov/mmwr/preview/mmwrhtml/00053877.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
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00053877.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5217a1.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5337a5.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00033965.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00001072.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5440a4.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5402a8.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5324a6.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5050a1.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00016527.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00045579.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00015127.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00023138.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5009a1.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00049256.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00019514.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm4826md.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5128a4.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00021129.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00049459.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00035886.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00017522.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5410a4.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5405a7.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
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00053877.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/rr5217a1.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5337a5.htm

---

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

**Bug ID:** `VS-2e859e5e`  
**Pattern ID:** `VS-20060f39`  
**URL:** http://www.cdc.gov/pcd/issues/2011/nov/10_0197_es.htm  
**XPath / selector:** `center`  
**WCAG SC:** _undetermined_  
**Rule:** deprecated-html — `center-element`  
**Severity:** Moderate  
**Frequency:** 20 instances; 10 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 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" h
```

### Description
Obsolete <center> element (use CSS). Detected by deprecated-html rule center-element on 10 of 1948 scanned pages (20 instances).

### Steps to reproduce
1. Open http://www.cdc.gov/pcd/issues/2011/nov/10_0197_es.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
- http://www.cdc.gov/pcd/issues/2011/nov/10_0197_es.htm
- http://www.cdc.gov/PCD/issues/2010/jul/09_0175.htm
- http://www.cdc.gov/PCD/issues/2009/jul/09_0017.htm
- https://www.cdc.gov/pcd/issues/2007/oct/07_0021.htm
- http://www.cdc.gov/PCD/issues/2006/apr/05_0028_es.htm
- http://www.cdc.gov/pcd/issues/2010/sep/10_0028_es.htm
- http://www.cdc.gov/pcd/issues/2008/oct/07_0239_zht.htm
- https://www.cdc.gov/pcd/issues/2011/may/10_0163_es.htm
- https://www.cdc.gov/pcd/issues/2008/apr/07_0202_es.htm
- https://www.cdc.gov/pcd/issues/2005/apr/04_0142k_zhs.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
- http://www.cdc.gov/pcd/issues/2011/nov/10_0197_es.htm
- http://www.cdc.gov/PCD/issues/2010/jul/09_0175.htm
- http://www.cdc.gov/PCD/issues/2009/jul/09_0017.htm

---

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

**Bug ID:** `VS-f87659f2`  
**Pattern ID:** `VS-f2542d87`  
**URL:** https://www.cdc.gov/mmwr/preview/mmwrhtml/00052499.htm  
**XPath / selector:** `<pre>`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r79` ([reference](https://alfa.siteimprove.com/rules/sia-r79))  
**Severity:** Moderate  
**Frequency:** 20 instances; 9 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

### Description
Duplicate role landmark is labeled. Detected by Siteimprove Alfa rule sia-r79 on 9 of 1948 scanned pages (20 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/mmwr/preview/mmwrhtml/00052499.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
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00052499.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00051718.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00053391.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00030705.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00039527.htm
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00031879.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00042708.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00039486.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00056752.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
- https://www.cdc.gov/mmwr/preview/mmwrhtml/00052499.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00051718.htm
- http://www.cdc.gov/mmwr/preview/mmwrhtml/00053391.htm

---

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

**Bug ID:** `VS-18064283`  
**Pattern ID:** `VS-7fbb8b20`  
**URL:** http://www.cdc.gov/diabetes/programs/preventt2/pledge.html?pledge=2  
**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:** 4 instances; 4 of 1948 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W40 (14 weeks)

### Description
Element with orientation is not locked. Detected by Siteimprove Alfa rule sia-r59 on 4 of 1948 scanned pages (4 instances).

### Steps to reproduce
1. Open http://www.cdc.gov/diabetes/programs/preventt2/pledge.html?pledge=2.
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
- http://www.cdc.gov/diabetes/programs/preventt2/pledge.html?pledge=2
- https://www.cdc.gov/mmwr/volumes/66/wr/mm6619md.htm?s_cid=mm6619md_w
- https://www.cdc.gov/pcd/issues/2008/apr/07_0249a.htm
- https://www.cdc.gov/flu/weekly/weeklyarchives2024-2025/data/iliage35.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-r59

### Example pages
- http://www.cdc.gov/diabetes/programs/preventt2/pledge.html?pledge=2
- https://www.cdc.gov/mmwr/volumes/66/wr/mm6619md.htm?s_cid=mm6619md_w
- https://www.cdc.gov/pcd/issues/2008/apr/07_0249a.htm

---

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

**Bug ID:** `VS-0292b7de`  
**Pattern ID:** `VS-3fb891c5`  
**URL:** https://www.cdc.gov/pcd/issues/2013/12_0096.htm  
**XPath / selector:** `<fieldset>`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r60` ([reference](https://alfa.siteimprove.com/rules/sia-r60))  
**Severity:** Moderate  
**Frequency:** 3 instances; 3 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

### Description
Input purpose can be determined. Detected by Siteimprove Alfa rule sia-r60 on 3 of 1948 scanned pages (3 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/pcd/issues/2013/12_0096.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/2013/12_0096.htm
- https://www.cdc.gov/pcd/issues/2013/12_0161_es.htm
- https://www.cdc.gov/pcd/issues/2012/11_0096_es.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/2013/12_0096.htm
- https://www.cdc.gov/pcd/issues/2013/12_0161_es.htm
- https://www.cdc.gov/pcd/issues/2012/11_0096_es.htm

---

## First focusable element is link to main content (WCAG criterion undetermined)

**Bug ID:** `VS-a93c0172`  
**Pattern ID:** `VS-aa242c2d`  
**URL:** http://www.cdc.gov/diabetes/programs/preventt2/pledge.html?pledge=2  
**XPath / selector:** `{"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r87` ([reference](https://alfa.siteimprove.com/rules/sia-r87))  
**Severity:** Moderate  
**Frequency:** 3 instances; 3 of 1948 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W40 (15 weeks)

### Description
First focusable element is link to main content. Detected by Siteimprove Alfa rule sia-r87 on 3 of 1948 scanned pages (3 instances).

### Steps to reproduce
1. Open http://www.cdc.gov/diabetes/programs/preventt2/pledge.html?pledge=2.
2. Locate the element: {"type":"document","children":[{"type":"type","name":"html","publicId":null,"sys
3. Confirm the Siteimprove Alfa finding for rule sia-r87.

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

### Affected pages
- http://www.cdc.gov/diabetes/programs/preventt2/pledge.html?pledge=2
- https://www.cdc.gov/pcd/issues/2008/apr/07_0249a.htm
- https://www.cdc.gov/flu/weekly/weeklyarchives2024-2025/data/iliage35.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-r87

### Example pages
- http://www.cdc.gov/diabetes/programs/preventt2/pledge.html?pledge=2
- https://www.cdc.gov/pcd/issues/2008/apr/07_0249a.htm
- https://www.cdc.gov/flu/weekly/weeklyarchives2024-2025/data/iliage35.html

---

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

**Bug ID:** `VS-b40d0088`  
**Pattern ID:** `VS-4c341c77`  
**URL:** http://www.cdc.gov/han/2023/han00488.html  
**XPath / selector:** `<p class="disclaimer">`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r85` ([reference](https://alfa.siteimprove.com/rules/sia-r85))  
**Severity:** Moderate  
**Frequency:** 3 instances; 3 of 1948 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W40 (12 weeks)

### Description
Keyboard trap does not exist. Detected by Siteimprove Alfa rule sia-r85 on 3 of 1948 scanned pages (3 instances).

### Steps to reproduce
1. Open http://www.cdc.gov/han/2023/han00488.html.
2. Locate the element: <p class="disclaimer">
3. Confirm the Siteimprove Alfa finding for rule sia-r85.

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

### Affected pages
- http://www.cdc.gov/han/2023/han00488.html
- http://www.cdc.gov/han/2023/han00487.html
- https://www.cdc.gov/han/2024/han00518.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-r85

### Example pages
- http://www.cdc.gov/han/2023/han00488.html
- http://www.cdc.gov/han/2023/han00487.html
- https://www.cdc.gov/han/2024/han00518.html

---

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

**Bug ID:** `VS-aaf9468b`  
**Pattern ID:** `VS-3d3b2245`  
**URL:** http://www.cdc.gov/orr/data-research/index.html  
**XPath / selector:** `<div role="region" tabindex="0" class="map-container visualization-container side map us outline-none position-relative">`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r40` ([reference](https://alfa.siteimprove.com/rules/sia-r40))  
**Severity:** Moderate  
**Frequency:** 3 instances; 3 of 1948 pages affected
  
**History:** first seen 2026-W24, last seen 2026-W40 (17 weeks)

### Description
Tables are used for tabular data, not layout. Detected by Siteimprove Alfa rule sia-r40 on 3 of 1948 scanned pages (3 instances).

### Steps to reproduce
1. Open http://www.cdc.gov/orr/data-research/index.html.
2. Locate the element: <div role="region" tabindex="0" class="map-container visualization-container side map 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
- http://www.cdc.gov/orr/data-research/index.html
- https://www.cdc.gov/nchs/pressroom/stats_of_the_states.htm
- https://www.cdc.gov/healthy-water-data/documentation/cryptosporidiosis-nndss-summary-report-for-2018.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
- http://www.cdc.gov/orr/data-research/index.html
- https://www.cdc.gov/nchs/pressroom/stats_of_the_states.htm
- https://www.cdc.gov/healthy-water-data/documentation/cryptosporidiosis-nndss-summary-report-for-2018.html

---

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

**Bug ID:** `VS-37868e7e`  
**Pattern ID:** `VS-c461a167`  
**URL:** https://www.cdc.gov/hepatitis/statistics/2021surveillance/hepatitis-a/figure-1.6.htm  
**XPath / selector:** `<table class="table table-striped table-width-unset data-table horizontal" aria-live="assertive" aria-rowcount="5">`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r54` ([reference](https://alfa.siteimprove.com/rules/sia-r54))  
**Severity:** Moderate  
**Frequency:** 2 instances; 2 of 1948 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W40 (14 weeks)

### Description
Assertive live region is marked as atomic. Detected by Siteimprove Alfa rule sia-r54 on 2 of 1948 scanned pages (2 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/hepatitis/statistics/2021surveillance/hepatitis-a/figure-1.6.htm.
2. Locate the element: <table class="table table-striped table-width-unset data-table horizontal" aria-live="assertive" aria-rowcount="5">
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/hepatitis/statistics/2021surveillance/hepatitis-a/figure-1.6.htm
- https://www.cdc.gov/ncbddd/birthdefects/data.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/hepatitis/statistics/2021surveillance/hepatitis-a/figure-1.6.htm
- https://www.cdc.gov/ncbddd/birthdefects/data.html

---

## Focus is not lost after interaction (WCAG criterion undetermined)

**Bug ID:** `VS-981adb26`  
**Pattern ID:** `VS-3804c2fa`  
**URL:** https://www.cdc.gov/mmwr/volumes/70/wr/mm7040e3.htm?s_cid=mm7040e3_w  
**XPath / selector:** `<span id="MathJax-Element-1-Frame" class="mjx-chtml MathJax_CHTML" tabindex="0" data-mathml="<math xmlns="http://www.w3.org/1998/Math/MathML"><mi>i</mi></math>">`  
**WCAG SC:** _undetermined_  
**Rule:** Siteimprove Alfa — `sia-r86` ([reference](https://alfa.siteimprove.com/rules/sia-r86))  
**Severity:** Moderate  
**Frequency:** 15 instances; 2 of 1948 pages affected
  
**History:** first seen 2026-W31, last seen 2026-W40 (3 weeks)

### Description
Focus is not lost after interaction. Detected by Siteimprove Alfa rule sia-r86 on 2 of 1948 scanned pages (15 instances).

### Steps to reproduce
1. Open https://www.cdc.gov/mmwr/volumes/70/wr/mm7040e3.htm?s_cid=mm7040e3_w.
2. Locate the element: <span id="MathJax-Element-1-Frame" class="mjx-chtml MathJax_CHTML" tabindex="0" data-mathml="<math xmlns="http://www.w3.org/1998/Math/MathML"><mi>i</mi></math>">
3. Confirm the Siteimprove Alfa finding for rule sia-r86.

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

### Affected pages
- https://www.cdc.gov/mmwr/volumes/70/wr/mm7040e3.htm?s_cid=mm7040e3_w
- http://www.cdc.gov/nchs/healthy_people/hp2020/progress-tables.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-r86

### Example pages
- https://www.cdc.gov/mmwr/volumes/70/wr/mm7040e3.htm?s_cid=mm7040e3_w
- http://www.cdc.gov/nchs/healthy_people/hp2020/progress-tables.htm

---

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

**Bug ID:** `VS-6bf633d4`  
**Pattern ID:** `VS-e5ec42f0`  
**URL:** http://www.cdc.gov/nchs/healthy_people/hp2020/progress-tables.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:** 1 instances; 1 of 1948 pages affected
  
**History:** first seen 2026-W26, last seen 2026-W40 (8 weeks)

### Description
Element role is consistent with ARIA landmark. Detected by Siteimprove Alfa rule sia-r72 on 1 of 1948 scanned pages (1 instances).

### Steps to reproduce
1. Open http://www.cdc.gov/nchs/healthy_people/hp2020/progress-tables.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
- http://www.cdc.gov/nchs/healthy_people/hp2020/progress-tables.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-r72

---

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

**Bug ID:** `VS-b85ac8d6`  
**Pattern ID:** `VS-a84da368`  
**URL:** http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5009a1.htm  
**XPath / selector:** `blink`  
**WCAG SC:** _undetermined_  
**Rule:** deprecated-html — `blink-element`  
**Severity:** Moderate  
**Frequency:** 2 instances; 1 of 1948 pages affected
  
**History:** first seen 2026-W25, last seen 2026-W40 (13 weeks)

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

### Description
Obsolete <blink> element. Detected by deprecated-html rule blink-element on 1 of 1948 scanned pages (2 instances).

### Steps to reproduce
1. Open http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5009a1.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
- http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5009a1.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.
