The toxic emissions from coal combustion associated with domestic winter heating requirements are an important public health issue. Waste cooking oil (WCO) holds promise as a means of reducing pollutant emissions thereby improving human health with the co-benefit of decreasing climate-forcing gas emissions by avoiding the combustion of mineral coal. With an annual production of ∼2.17 Mt of WCO in Northern China, it could be used to meet the winter heating demand of ∼3.25 million rural households, offsetting ∼9.83 Mt of raw coal consumption. Through the adoption of coal-to-WCO shift in rural regions of 15 provinces, approximately 15.0%, 15.6%, 15.9% and 13.7%, respectively of CO, PM_2.5, SO₂ and NO_X emissions would be eliminated. It is estimated that such a change would remove the respective contributions of these pollutants to the premature deaths of respectively, 63,400, 29,300, 173,00 and 31,300 rural residents. Such a positive health impact on the labor cohort would reduce the loss of labor supply and work time, as well as producing billions of RMB in economic benefits. WCO-based heating technology has the same effect on the reduction of GWC₁₀₀ value as other modern energy carriers while also being cheaper and sustainable, long term. Reducing household emissions by substituting raw coal with green energy is a vital strategy to support pathways for sustainable environment design. The results of this work for the coal-to-WCO shift can reinforce the support for coal phase-out in China.