Caution
A solution for MathML that works in all reading systems does not currently exist. The techniques presented on this page will continue to be updated as new information becomes available.
Refer to the Best Practices for Authoring MathML in EPUB guide for the latest information.
Summary
Support for rendering of native MathML markup is increasing but workarounds may still be necessary in some support scenarios.
Techniques

Represent math equations using MathML markup. [[WCAG1.3.1]]

Use the
math
role for plain text equations. [[WCAG1.3.1]]
Examples
Frequently Asked Questions
 Should I prefix the MathML tags?

No, it is not recommended to use prefixes with math tags (e.g.,
m:math
).Not all combinations of assistive technologies and user agents are XML aware, so even if they support MathML markup they may not support prefixed markup.
The use of unprefixed tags is also recommended as it ensures compatibility between both HTML and XHTML syntaxes (XML prefixes are not supported in HTML).
 Should I use the ARIA
math
role with MathML markup? 
No, it is strongly advised not to use the
math
role with MathML markup. In many cases, using this role will cause the MathML markup not to be accessible to users.The
math
role should be restricted to text math equations (refer to example 3).  How can I provide a description?

There currently isn't a recommended practice for descriptions due to poor support.
The
alttext
attribute is not intended for descriptions but to be used in place of the MathML when it is not supported. Reading systems support for this replacement is poor.MathML 4 is introducing the
intent
attribute to improve the voicing of equations, but it is still only a draft.It is possible to use the
arialabel
andariadetails
attributes to provide a description, but more testing is necessary.This guide will be revised when a proven technique emerges.
Explanation
Although a benefit of native MathML support in HTML is the ability to provide voicing based on the markup, user agents capable of such voicings are still not widespread. MathML still presents the most accessible option in user agents that do support it, however.
As MathML rendering support has now become widespread in browsers, the best option for providing accessible math equations is to use MathML markup.
Although MathML should be preferred for math content, simple inline text equations are often not
tagged (e.g., "x + y = z"). Although such equations may appear simple,
assistive technologies will often not read out all the symbols, making them difficult for users
to understand. If MathML is not used for these types of equations, they should be wrapped inside
an element with the role "math
" (refer to example 3). The use
of this role allows assistive technologies to switch pronunciation modes.
Note
Support for MathML in EPUB depends heavily on the age of the reading system. Reading systems that actively update their browser cores can now handle MathML, but publishers will still have to consider the rendering of their content in older reading systems for a while.
A less robust solution, but more likely to work in older reading systems, is to provide an image of the math with a sufficiently descriptive alternative text, and extended description for more complex equations (refer to example 4).
For the most uptodate information on support in EPUB, refer to the Best Practices for Authoring MathML in EPUB guide.