This study aimed to investigate and classify the occurrence of waterborne diseases in Florianópolis city, Santa Catarina State, Southern Brazil and to correlate these diseases with the following social-environmental indicators of the local population: type of water supply, adequate collection and sewage treatment, areas of flooding and domestic water tank cleaning. Reports of outpatients were analyzed for surveillance of waterborne diseases during the period of 2002 to 2009. Waterborne diseases were classified into four groups: Group A: diarrheal diseases; Group B: parasitological diseases; Group C: skin diseases and Group D: eye diseases. The diarrheal, parasitological and skin diseases were the most frequently reported. Waterborne diseases belonging to Group A in all sites were correlated with other waterborne diseases groups, which can be an indicator of the circulation of other waterborne diseases. Regarding the social-environmental indicators assessed, the most correlated with waterborne diseases were the origin and quality of the water supply, followed by inadequate collection and treatment of sewage, frequent flooding, and finally the lack of cleanliness of the water reservoir. The results highlight the need for policies aiming for improvement of the sanitation service in the maintenance of human, animal and environmental health.