AZs are physically located near each other, usually within a small enough radius that they could be all impacted by the same natural disaster. In some cloud providers and regions, AZs are simply different parts of the same building (IIRC one of the Japan regions of Azure was essentially this, but don't quote me). And evidently, the share some infrastructure.
At a previous job where we needed to always be up, our disaster recovery plan assumed that the us-east-1 site had been hit by a meteor (not literally, but that's how we explained it to each other to put ourselves in the mindset.)
AZs are physical boundaries, but the networking and software is interconnected. Regions are (mostly) isolated, though global services like IAM and CloudFront often have their main control plane in us-east-1
Everyone wants to be multi-AZ, multi-cell, but it's a multi-year project, especially for services that have been around for a while. My last team had been working on it for a couple of years when I left.
>An Availability Zone (AZ) is one or more discrete data centers with redundant power, networking, and connectivity in an AWS Region... AZs are physically separated by a meaningful distance, many kilometers, from any other AZ, although all are within 100 km (60 miles) of each other.