Westword Magazine ranked Nevada No. 2 in the nation for number of pornographic page views per capita in 2014.
Around the same time, two male porn actors tested positive for HIV after a film shoot in Nevada.
This year, Utah declared pornography a public health hazard, when Gov. Gary Herbert signed the resolution that received unanimous support from both the Utah house and senate.
Todd Weiler is the state senator who championed the resolution. He said he understands that opioid addiction and the Zika virus are health issues, but he pushed for the resolution to bring awareness to the problem.
"This is more of an educational piece to start getting people thinking about pornography maybe as something other than a First Amendment issue," he said.
He said a group of constituents have been asking him to protect their families by stemming the flow of pornography.
Weiler said pornography changes a person's brain chemistry.
"You can get high off of porn."
Plus, he added, it dehumanizes people to the point where they're seen as just body parts.
Matt understands that feeling of getting high while watching porn. He is a recovering pornography addict and now helps others through Las Vegas Sex Addicts Anonymous.
"It was all consuming," Matt said of his addiction.
He said he would watch internet porn for up to eight hours a day, allowing him to escape reality. However, when he would stop and the fantasy world would be over he would feel resentful of being back in the real world.
"As soon as I came out of it and was faced with reality, I was resenting every minute of it," Matt said, "Every minute I was with my wife, even intimate moments with my wife, I was resenting it because it was reality and it didn't live up to the fantasy."
Ron Lawrence is a marriage and family therapist who has worked with people addicted to pornography. He said people who become addicted get into a trance-like state.
He said with some people "a switch is thrown" and it is finding what is throwing that switch and why that helps them find recovery.
But living in Las Vegas, often does not help, Lawrence said. Sex is still a big part of the marketing of our tourist economy, and it is not difficult to find lurid pictures on billboards, flyers and advertisements in Las Vegas.
Marlo Tonge is with the office of Disease Surveillance at the Southern Nevada Health District.
She's not sure she would categorize pornography as a public health crisis simply because there isn't enough research. But she does believe there is a problem.
Tonge said from a strictly disease control perspective the health district's concern is the spread of sexually transmitted infections in adult film actors.
She said people in her office are often the first contact for people who have been infected. She said perhaps the people in her office should be better educated about the industry.
As a mother of two boys, Tonge said talking to them about the unreality of pornography and the impact it can have on relationships is important.
"It can change the way you view yourself and your partners," she said.
Lawrence wouldn't go as far as to say porn is a health crisis either, but believes a lack of understand about all addictions is.
"The real public health crisis is the lack of addiction education in the general public," he said, "We need to have general public education not only about addictive disorders that involve substances, but behavioral addictions as well.
Every last Thursday of the month, a new-member orientation is held at Sex Addicts Anonymous Las Vegas, which is open to spouses and partners.
Todd Weiler, Utah State Senator; Matt, member, Las Vegas Sex Addicts Anonymous; Marlo Tonge, Office of Disease Surveillance Manager, Southern Nevada Health District; Ron Lawrence, founder/clinical supervisor, Community Counseling Center of Southern Nevada