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Paul: it’s interesting that you’re using the strong or em element, but unfortunately, while it’ll do the job for non-CSS folks, screen reader users probably won’t get the benefit. I’m not aware of any screen reader which by default vocalises strong or em elements, and the main ones don’t even include options to turn that vocalisation on.

Screen reader users will get an indication of the current page from the usual things (e.g., page titles and headings) anyway, so they’re not particularly losing out from not getting the extra visual information that this technique offers.